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General NPI Number Information
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NPI Number | 1104348176
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Entity Type | Individual
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Provider Name | CAROLEE ANNE PARUTA LMFT, LADC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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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 | 860-824-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 173 LINCOLN AVE E
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City | WEST HARRISON
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State | NY
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Zip | 10604-2120
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Country | US
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Telephone |
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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 | 000943
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000369
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000951
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License Number State | CT
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