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General NPI Number Information
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NPI Number | 1063282739
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Entity Type | Individual
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Provider Name | BRITTNEY LABONTE
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 16 BRACE RD FL 3
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1825
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Country | US
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Telephone | 959-210-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 35 HITCHINGPOST DR
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City | TORRINGTON
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State | CT
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Zip | 06790-2368
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Country | US
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Telephone | 959-210-4116
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6454
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License Number State | CT
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