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General NPI Number Information
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NPI Number | 1063615540
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Entity Type | Individual
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Provider Name | LEONARD ALAN KENOWITZ PH.D.,LADC
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 71 EAST AVE SUITE R
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City | NORWALK
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State | CT
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Zip | 06851-4903
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Country | US
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Telephone | 203-831-9385
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Fax | 203-866-1509
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Provider Business Mailing Address
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Address Line | 28 WAYFARING RD
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City | NORWALK
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State | CT
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Zip | 06851-1824
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Country | US
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Telephone | 203-847-4094
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 171
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License Number State | CT
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