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General NPI Number Information
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NPI Number | 1669883633
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Entity Type | Individual
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Provider Name | ADRIENNE NICOLE AQUINO B.C.B.A.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 144 CANAL ST
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City | NASHUA
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State | NH
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Zip | 03064-2886
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Country | US
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Telephone | 603-882-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HAZEL AVE
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City | NASHUA
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State | NH
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Zip | 03062-1448
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Country | US
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Telephone | 603-809-7802
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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 | 1-14-15782
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License Number State |
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