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General NPI Number Information
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NPI Number | 1992525869
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Entity Type | Organization
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Legal Business Name | PAPER LANTERN THERAPIES LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 601 6TH ST
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City | FENTON
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State | MI
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Zip | 48430-1995
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Country | US
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Telephone | 810-202-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 601 6TH ST
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City | FENTON
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State | MI
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Zip | 48430-1995
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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 | OWNER
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Name | ELISE HESTER
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Credential | MA BCBA LBA
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Telephone | 810-399-9016
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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 |
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License Number State |
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