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General NPI Number Information
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NPI Number | 1013581479
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Entity Type | Organization
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Legal Business Name | KAREN SCHEEL HOLLEY PSYD LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 45 S MAIN ST STE 70
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2426
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Country | US
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Telephone | 860-785-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 182 MILTON ST
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1220
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Country | US
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Telephone | 860-785-4232
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | KAREN J SCHEEL HOLLEY
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Credential | PSYD
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Telephone | 860-785-4232
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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 |
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License Number State |
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