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General NPI Number Information
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NPI Number | 1033418132
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Entity Type | Individual
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Provider Name | GEORGINIA BUCCA WEYGAND ED.S, NCSP, RP, BCCS
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Gender | Female
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 7955 E ARAPAHOE CT STE 1100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6820
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Country | US
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Telephone | 303-357-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 7955 E ARAPAHOE CT STE 1100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6820
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Country | US
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Telephone | 303-357-0386
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 735811
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 153968
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License Number State | CO
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