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General NPI Number Information
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NPI Number | 1801752324
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Entity Type | Individual
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Provider Name | BISHOP L HAZARD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 113 SALEM TPKE STE 200
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City | NORWICH
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State | CT
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Zip | 06360-6484
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 35 GOFF AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-2950
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Country | US
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Telephone | 401-500-9341
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 40077929
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License Number State | RI
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