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General NPI Number Information
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NPI Number | 1386200749
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Entity Type | Organization
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Legal Business Name | FRANCIS BERARDI LADC, LLC
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Dates
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Enumeration Date | 05/11/2019
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Last Update Date | 05/11/2019
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Provider Practice Location Address
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Address Line | 2505 MAIN ST STE 229
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City | STRATFORD
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State | CT
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Zip | 06615-5839
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Country | US
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Telephone | 203-529-1510
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Fax | 954-278-7064
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Provider Business Mailing Address
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Address Line | 1140 JAMES ST
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City | STRATFORD
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State | CT
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Zip | 06614-4916
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Country | US
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Telephone | 203-529-1510
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Fax | 954-278-7064
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANCIS XAVIER BERARDI
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Credential | LADC
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Telephone | 203-529-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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