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General NPI Number Information
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NPI Number | 1073013041
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Entity Type | Organization
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Legal Business Name | VIANA BEHAVIORAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 16 BRACE RD FL 2
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1825
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Country | US
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Telephone | 860-255-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 16 BRACE RD FL 2
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1825
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Country | US
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Telephone | 860-255-4379
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST, OWNER
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Name | DR. VIANA TURCIOS-COTTO
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Credential | PH.D.
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Telephone | 860-255-4379
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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 | 8.003714
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License Number State | CT
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