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General NPI Number Information
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NPI Number | 1851693980
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Entity Type | Individual
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Provider Name | ANSLEY C. HODGES BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 1717 S. ORANGE AVE., SUITE 100 NEMOURS CHILDRENS CLINIC, ORLANDO
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City | ORLANDO
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State | FL
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Zip | 32806-2946
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Country | US
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Telephone | 407-650-7000
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Fax | 407-567-5924
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Provider Business Mailing Address
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Address Line | P.O. BOX 191 PROVIDER ENROLLMENT DEPARTMENT
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City | ROCKLAND
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State | DE
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Zip | 19732-0191
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Country | US
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Telephone | 302-298-7371
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Fax | 302-651-4945
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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 | 1-05-2575
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License Number State | FL
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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 |
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License Number State |
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