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General NPI Number Information
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NPI Number | 1104886084
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Entity Type | Individual
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Provider Name | STEVEN T DAVIES L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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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 HAYNES ST
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City | MANCHESTER
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State | CT
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Zip | 06040-4131
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Country | US
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Telephone | 860-646-1222
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Fax | 860-533-3452
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Provider Business Mailing Address
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Address Line | 66 BRANDY ST
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City | BOLTON
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State | CT
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Zip | 06043-7602
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Country | US
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Telephone | 860-643-5699
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000623
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License Number State | CT
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