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General NPI Number Information
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NPI Number | 1154817237
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Entity Type | Organization
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Legal Business Name | MMP THERAPY AND CONSULTING LLC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 2475 ALBANY AVENUE SUITE 205
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City | WEST HARTFORD
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State | CT
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Zip | 06117
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Country | US
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Telephone | 860-370-2222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 916
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City | WINDSOR
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State | CT
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Zip | 06095-0916
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Country | US
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Telephone | 860-370-2222
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE PEELE
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Credential | MA, MED, LPC
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Telephone | 860-370-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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