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General NPI Number Information
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NPI Number | 1841857141
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Entity Type | Individual
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Provider Name | CAROLINE MADELINE WALLACE MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 4 BROADWAY AVE EXT, UNIT 3
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City | STONINGTON
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State | CT
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Zip | 06378
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Country | US
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Telephone | 860-980-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WOOD CREST DR
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City | OLD LYME
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State | CT
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Zip | 06371-2840
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Country | US
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Telephone | 207-228-3291
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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 | 805
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License Number State | CT
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