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General NPI Number Information
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NPI Number | 1871072371
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Entity Type | Individual
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Provider Name | ANYA WORONZOFF VERRIDEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 174 SOUTH RD STE 110
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City | ENFIELD
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State | CT
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Zip | 06082-4414
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 174 SOUTH RD STE 110
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City | ENFIELD
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State | CT
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Zip | 06082-4414
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Country | US
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Telephone |
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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 | 1577
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License Number State | NH
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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 | 48.0134278
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSO1998
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B1-0011319
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3616
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8100007541
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 626
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License Number State | ND
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY.0005567
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License Number State | CO
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Taxonomy #9
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61196447
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License Number State | WA
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Taxonomy #10
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY1057
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License Number State | NV
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Taxonomy #11
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1959
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License Number State | HI
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Taxonomy #12
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 11152
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License Number State | MA
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Taxonomy #13
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3955
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License Number State | CT
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