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General NPI Number Information
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NPI Number | 1154000669
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Entity Type | Individual
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Provider Name | DIGNA M GONTOL
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 2761 RICHMOND HWY
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City | STAFFORD
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State | VA
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Zip | 22554-8329
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Country | US
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Telephone | 540-929-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 6 FRANK CT
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City | STAFFORD
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State | VA
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Zip | 22554-7910
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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 |
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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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