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General NPI Number Information
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NPI Number | 1073836136
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Entity Type | Organization
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Legal Business Name | JENNIFER M. LAPENTA, LCSW, L.L.C.
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 60 AVON MEADOW LN SUITE 6
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City | AVON
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State | CT
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Zip | 06001-3744
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Country | US
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Telephone | 860-761-3896
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Fax |
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Provider Business Mailing Address
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Address Line | 60 AVON MEADOW LN SUITE 6
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City | AVON
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State | CT
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Zip | 06001-3744
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Country | US
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Telephone | 860-761-3896
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | JENNIFER LAPENTA
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Credential |
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Telephone | 860-761-3896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007125
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License Number State | CT
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