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General NPI Number Information
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NPI Number | 1063698546
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Entity Type | Individual
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Provider Name | KIMBERLY A COGNATO LADC, CCDP, CAC,
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Gender | Female
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 372 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-2523
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Country | US
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Telephone | 860-362-5225
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Fax | 888-242-2103
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Provider Business Mailing Address
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Address Line | 372 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-2523
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Country | US
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Telephone | 860-362-5225
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Fax | 888-242-2103
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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 | 000799
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001885
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License Number State | CT
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