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General NPI Number Information
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NPI Number | 1982515508
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Entity Type | Individual
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Provider Name | ANNIE ELAINA ESHELMAN-KAT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 17722 N 79TH AVE APT 1029
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City | GLENDALE
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State | AZ
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Zip | 85308-8670
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Country | US
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Telephone | 480-212-0825
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Fax | 888-838-5149
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Provider Business Mailing Address
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Address Line | 17722 N 79TH AVE APT 1029 APT 1029
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City | GLENDALE
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State | AZ
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Zip | 85308-8670
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Country | US
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Telephone | 480-212-0825
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Fax | 888-838-5149
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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-24-331062
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License Number State | AZ
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