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General NPI Number Information
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NPI Number | 1447529565
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Entity Type | Individual
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Provider Name | KYLAH BERNARDO ARIAS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 85 LAFAYETTE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-1803
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Country | US
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Telephone | 860-224-3642
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Fax |
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Provider Business Mailing Address
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Address Line | 5503 31ST AVE APT. 3P
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City | WOODSIDE
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State | NY
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Zip | 11377-1646
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Country | US
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Telephone | 203-464-1070
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019369
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4210
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License Number State | CT
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