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General NPI Number Information
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NPI Number | 1831494715
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Entity Type | Individual
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Provider Name | MARY ANGELA ARBAUGH LMFT, LBA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 345 S BUCKMAN ST
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-6060
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Country | US
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Telephone | 502-468-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 345 S BUCKMAN ST
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-6060
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Country | US
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Telephone | 502-468-4640
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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 | 164239
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0870
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License Number State | KY
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Taxonomy #3
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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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