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General NPI Number Information
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NPI Number | 1992335327
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Entity Type | Individual
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Provider Name | NASELYN GISSELLE SZURA RENTAS
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Gender | Female
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4840 GRASSELLI ST
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3503
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Country | US
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Telephone | 219-397-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 16782 VON KARMAN AVE STE 11
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City | IRVINE
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State | CA
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Zip | 92606-2417
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Country | US
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Telephone | 949-833-2237
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-16885
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License Number State | IN
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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 | 0-25-16369
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License Number State | IN
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