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General NPI Number Information
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NPI Number | 1851989339
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Entity Type | Organization
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Legal Business Name | DEDICATED HEALTHCARE LLC
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Dates
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Enumeration Date | 01/09/2021
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Last Update Date | 01/10/2021
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Provider Practice Location Address
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Address Line | 3952 CLAIREMONT MESA BLVD # D438
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City | SAN DIEGO
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State | CA
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Zip | 92117-2739
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Country | US
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Telephone | 253-539-9886
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Fax |
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Provider Business Mailing Address
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Address Line | 3952 CLAIREMONT MESA BLVD # D438
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City | SAN DIEGO
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State | CA
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Zip | 92117-2739
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Country | US
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Telephone | 253-539-9886
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | CHELSEA STONE
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Credential | MED, BCBA
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Telephone | 253-539-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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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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