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General NPI Number Information
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NPI Number | 1811446222
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Entity Type | Individual
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Provider Name | KELLY HANG HO MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 6767 S SPRUCE ST STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6118
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Country | US
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Telephone | 303-997-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 W STANFORD AVE APT #1-105
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City | DENVER
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State | CO
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Zip | 80123-7358
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Country | US
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Telephone | 469-271-6416
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Fax |
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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 | 1-16-23820
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License Number State | TX
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