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General NPI Number Information
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NPI Number | 1467360206
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Entity Type | Individual
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Provider Name | ALIVIA CIARCIA
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 1 LONG WHARF DR
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City | NEW HAVEN
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State | CT
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Zip | 06511-5991
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 523 SEASIDE AVE
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City | WESTBROOK
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State | CT
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Zip | 06498-1810
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Country | US
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Telephone | 860-510-9656
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8625
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License Number State | CT
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