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General NPI Number Information
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NPI Number | 1750758041
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Entity Type | Individual
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Provider Name | IRINA PASAT M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 7801 MESQUITE BEND DR STE 105
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City | IRVING
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State | TX
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Zip | 75063-6043
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Country | US
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Telephone | 972-756-9170
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Fax | 214-614-4650
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Provider Business Mailing Address
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Address Line | 3021 GATEWAY DR STE 295
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City | IRVING
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State | TX
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Zip | 75063-2639
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Country | US
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Telephone | 972-756-9170
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Fax | 214-614-4650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13350
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License Number State |
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