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General NPI Number Information
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NPI Number | 1043602220
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Entity Type | Organization
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Legal Business Name | JODI RABINOWITZ LLC
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 03/31/2024
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Provider Practice Location Address
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Address Line | 752 MIDDLETOWN RD UNIT A
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City | COLCHESTER
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State | CT
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Zip | 06415-2307
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Country | US
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Telephone | 860-510-1435
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 WHITNEY AVE # 261
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City | HAMDEN
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State | CT
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Zip | 06518-2353
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Country | US
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Telephone | 860-510-1435
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JODI ERIN WILLIAMS
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Credential | LPC
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Telephone | 860-510-1435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2681
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License Number State | CT
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