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General NPI Number Information
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NPI Number | 1912681065
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Entity Type | Individual
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Provider Name | KHADEEN DAWKINS BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 4800 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-5746
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Country | US
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Telephone | 954-532-0337
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Fax | 954-208-0868
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Provider Business Mailing Address
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Address Line | 4800 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-5746
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Country | US
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Telephone | 954-532-0337
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Fax | 954-208-0680
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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 | 1-21-53796
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License Number State | FL
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