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General NPI Number Information
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NPI Number | 1508505967
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Entity Type | Individual
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Provider Name | ROBIN MORROW M.ED.,BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 2 TRAIL RUN
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City | VERNON
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State | CT
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Zip | 06066-3968
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Country | US
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Telephone | 791-266-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TRAIL RUN APT 1101
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City | VERNON
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State | CT
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Zip | 06066-3969
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Country | US
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Telephone | 781-266-8918
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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 | 1-18-31104
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License Number State | MA
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