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General NPI Number Information
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NPI Number | 1982401378
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Entity Type | Individual
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Provider Name | JULIA LOPES CARDOSO MS,BCBA,LABA
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 200 STONEWALL BLVD
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City | WRENTHAM
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State | MA
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Zip | 02093-2209
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Country | US
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Telephone | 774-291-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 16 BOW ST
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City | MILLVILLE
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State | MA
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Zip | 01529-1739
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Country | US
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Telephone | 774-291-1521
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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 | 10001149
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License Number State | MA
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