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General NPI Number Information
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NPI Number | 1750818076
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Entity Type | Individual
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Provider Name | STEPHANIE MAR
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Gender | Female
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 8646 GUION RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3011
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Country | US
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Telephone | 317-334-7331
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Fax | 317-334-7336
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Provider Business Mailing Address
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Address Line | 8646 GUION RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3011
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Country | US
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Telephone | 317-334-7331
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Fax | 317-334-7336
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-45727
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License Number State | IN
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