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General NPI Number Information
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NPI Number | 1760659320
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Entity Type | Individual
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Provider Name | HILARY WATTS COONS PHD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 3458 SOUTH RD
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City | BRADFORD
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State | VT
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Zip | 05033-8822
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Country | US
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Telephone | 22-225-7988
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 706
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City | BRADFORD
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State | VT
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Zip | 05033-0706
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Country | US
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Telephone | 802-222-5798
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 489
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 483
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License Number State | NH
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