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General NPI Number Information
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NPI Number | 1265706162
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Entity Type | Organization
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Legal Business Name | R & S COUNSELING LLC
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 171 MARKET SQ SUITE 202
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City | NEWINGTON
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State | CT
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Zip | 06111-2927
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Country | US
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Telephone | 860-402-8884
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Fax | 860-667-2888
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Provider Business Mailing Address
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Address Line | 171 MARKET SQ SUITE 202
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City | NEWINGTON
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State | CT
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Zip | 06111-2927
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Country | US
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Telephone | 860-402-8884
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Fax | 860-667-2888
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. SUZANNA G RICH
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Credential | LADC
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Telephone | 860-402-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000906
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 000906
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License Number State | CT
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