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General NPI Number Information
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NPI Number | 1295440436
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Entity Type | Individual
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Provider Name | VERONICA L BERMEO-GARZON
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 67 CHAPMAN ST
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City | NEWINGTON
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State | CT
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Zip | 06111-1702
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Country | US
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Telephone | 860-559-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HENRY ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3215
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Country | US
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Telephone | 860-829-7533
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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 | 1560
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License Number State | CT
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