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General NPI Number Information
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NPI Number | 1164076261
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Entity Type | Individual
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Provider Name | CHELSEA ANDREA BARABTARLO LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 1101 NOANK ROAD
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City | MYSTIC
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State | CT
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Zip | 06355
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Country | US
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Telephone | 860-822-6009
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Fax |
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Provider Business Mailing Address
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Address Line | 350 AMITY RD
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City | BETHANY
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State | CT
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Zip | 06524-3407
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Country | US
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Telephone | 831-999-0055
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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 | 2905
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License Number State | CT
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