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General NPI Number Information
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NPI Number | 1174668578
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Entity Type | Individual
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Provider Name | PAMELA LYNNE ADAMS MISH LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 HAZELWOOD DRIVE 72 ROUTE 32
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City | FRANKLIN
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State | CT
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Zip | 06254
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Country | US
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Telephone | 860-822-6009
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Fax | 860-822-6009
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Provider Business Mailing Address
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Address Line | 7 HAZELWOOD DRIVE
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City | BALTIC
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State | CT
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Zip | 06330
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Country | US
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Telephone | 860-822-6009
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Fax | 860-822-6009
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000816
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License Number State | CT
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