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General NPI Number Information
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NPI Number | 1972887081
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Entity Type | Individual
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Provider Name | SALLI UNHONG SHON LCSW, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 30 AVON MEADOW LN
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City | AVON
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State | CT
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Zip | 06001-3745
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Country | US
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Telephone | 860-740-6949
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Fax | 860-508-2908
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Provider Business Mailing Address
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Address Line | 30 AVON MEADOW LN
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City | AVON
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State | CT
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Zip | 06001-3745
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Country | US
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Telephone | 860-740-6949
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4525
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 447
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License Number State | CT
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