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General NPI Number Information
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NPI Number | 1891174322
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Entity Type | Organization
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Legal Business Name | ANGIE ARBAUGH LLC
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 556 CHERRY HILL PKWY
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City | MOUNT WASHINGTON
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State | KY
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Zip | 40047-5716
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Country | US
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Telephone | 502-468-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 556 CHERRY HILL PKWY
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City | MOUNT WASHINGTON
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State | KY
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Zip | 40047-5716
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Country | US
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Telephone | 502-468-4640
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Fax |
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Authorized Official
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Title or Position | OWNER / CLINICAL DIRECTOR
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Name | MARY ANGELA ARBAUGH
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Credential | LMFT, BCBA
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Telephone | 502-468-4640
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0870
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License Number State | KY
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