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General NPI Number Information
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NPI Number | 1902439995
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Entity Type | Organization
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Legal Business Name | ERIC GORMLEY LLC
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 400 W CAPITOL AVE STE 1700
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3438
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Country | US
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Telephone | 501-999-3836
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Fax | 501-361-1385
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Provider Business Mailing Address
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Address Line | 378 NE SURFSIDE AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1244
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Country | US
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Telephone | 203-300-3257
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | ERIC A GORMLEY
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Credential |
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Telephone | 203-300-3257
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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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