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General NPI Number Information
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NPI Number | 1912734062
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Entity Type | Individual
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Provider Name | PAIGE HALL RBT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 2612 W LAMBERTH RD STE 100
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City | SHERMAN
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State | TX
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Zip | 75092-5181
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Country | US
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Telephone | 254-249-6530
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Fax |
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Provider Business Mailing Address
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Address Line | 27040 E US HIGHWAY 380 APT 2108
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City | AUBREY
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State | TX
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Zip | 76227-1546
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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 |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-285071
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License Number State | TX
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