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General NPI Number Information
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NPI Number | 1831848720
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Entity Type | Organization
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Legal Business Name | LENOX CHILD DEVELOPMENT CENTER
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 690 PIEDMONT AVE NE APT 19
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City | ATLANTA
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State | GA
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Zip | 30308-1956
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Country | US
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Telephone | 678-250-3225
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Fax |
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Provider Business Mailing Address
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Address Line | 8626 OVATION DR
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City | CARY
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State | NC
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Zip | 27513-2648
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Country | US
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Telephone | 305-570-6117
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. OKSANA BELOVA
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Credential | BCBA
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Telephone | 678-250-3225
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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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