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General NPI Number Information
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NPI Number | 1891130514
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Entity Type | Organization
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Legal Business Name | ANDY'S VOICE
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 1956 VANTAGE DR
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City | PLANO
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State | TX
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Zip | 75075-6759
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Country | US
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Telephone | 817-715-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 1956 VANTAGE DR
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City | PLANO
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State | TX
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Zip | 75075-6759
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. ALEXANDRA E FURLONG
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Credential | BCBA
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Telephone | 817-715-9794
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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 | 1-12-12227
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License Number State | TX
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