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General NPI Number Information
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NPI Number | 1144037706
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Entity Type | Individual
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Provider Name | COLETTE VICTORIA FINOCCHIO
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 16 BRIDGE GATE
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City | PLYMOUTH
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State | MA
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Zip | 02360-6377
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Country | US
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Telephone | 508-287-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 346 JUDSON ST
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City | RAYNHAM
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State | MA
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Zip | 02767-1353
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Country | US
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Telephone | 781-254-3639
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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