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General NPI Number Information
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NPI Number | 1962268904
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Entity Type | Individual
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Provider Name | ALISON LAROCCA L.AC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 4 ARMSTRONG RD STE T120
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City | SHELTON
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State | CT
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Zip | 06484-4721
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Country | US
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Telephone | 203-842-8631
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BOTSFORD AVE APT A
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City | MILFORD
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State | CT
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Zip | 06460-5863
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Country | US
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Telephone | 203-331-5052
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 871
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License Number State | CT
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