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General NPI Number Information
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NPI Number | 1801612544
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Entity Type | Individual
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Provider Name | NICOLE ORRICO
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 72 WEST ST
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City | DANBURY
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State | CT
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Zip | 06810-6531
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Country | US
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Telephone | 203-317-9315
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Fax |
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Provider Business Mailing Address
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Address Line | 6 RYANDALE RD
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5106
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Country | US
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Telephone | 845-240-8705
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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 |
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License Number State |
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