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General NPI Number Information
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NPI Number | 1942768486
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Entity Type | Individual
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Provider Name | ANNA WHYSONG
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 10 ARBORLAND WAY
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City | GREENVILLE
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State | SC
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Zip | 29615-2201
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Country | US
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Telephone | 864-520-1614
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Fax | 864-484-8458
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 990
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City | HOUSTON
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State | TX
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Zip | 77063-1708
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Country | US
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Telephone | 281-826-3382
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Fax | 425-491-7683
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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 | 1980395
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-24-15539
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License Number State | SC
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