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General NPI Number Information
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NPI Number | 1831523166
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Entity Type | Organization
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Legal Business Name | THE MISSING PIECE, INC.
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 1908 MAPLEWOOD DR STE B
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City | SULPHUR
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State | LA
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Zip | 70663-6000
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Country | US
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Telephone | 337-274-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 MAPLEWOOD DR STE B
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City | SULPHUR
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State | LA
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Zip | 70663-6000
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Country | US
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Telephone | 337-436-6488
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Fax | 337-625-5272
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JEFFREY B MATHEWS
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Credential |
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Telephone | 337-274-4435
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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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