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General NPI Number Information
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NPI Number | 1184905929
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Entity Type | Organization
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Legal Business Name | BALANCE WITHIN, LLC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 459 WALLINGFORD RD
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City | DURHAM
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State | CT
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Zip | 06422-1125
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Country | US
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Telephone | 203-213-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 1 QUIET WOODS RD
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1811
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Country | US
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Telephone | 203-213-6789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NORMAJEAN CEFARELLI
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Credential | LMFT
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Telephone | 203-213-6789
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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 | 001259
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License Number State | CT
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