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General NPI Number Information
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NPI Number | 1033341748
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Entity Type | Individual
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Provider Name | ANTHONY MICHAEL BOCCHICCHIO PSYD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1250 HILLRISE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4741
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Country | US
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Telephone | 575-288-1881
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Fax | 575-288-1889
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Provider Business Mailing Address
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Address Line | 1250 HILLRISE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4741
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Country | US
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Telephone | 575-288-1881
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Fax | 575-288-1889
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016663
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-2025-0062
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License Number State | NM
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