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General NPI Number Information
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NPI Number | 1891484192
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Entity Type | Organization
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Legal Business Name | MORE 2 DO LLC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 105 MISSOURI CIR
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City | JACKSONVILLE
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State | AR
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Zip | 72076-1131
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Country | US
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Telephone | 256-651-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1156
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City | JACKSONVILLE
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State | AR
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Zip | 72078-1156
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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 | DIRECTOR
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Name | ANN-MARIE DONOVAN
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Credential | BCBA
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Telephone | 256-651-1500
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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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