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General NPI Number Information
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NPI Number | 1265863286
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Entity Type | Individual
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Provider Name | HATINA TERRAS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2013
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 489 GOLD STAR HWY STE 200
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City | GROTON
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State | CT
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Zip | 06340-6227
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Country | US
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Telephone | 860-938-0072
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Fax | 401-596-3289
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Provider Business Mailing Address
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Address Line | 489 GOLD STAR HWY STE 200
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City | GROTON
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State | CT
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Zip | 06340-6227
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Country | US
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Telephone | 860-938-0072
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Fax | 860-326-7986
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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 | 2457
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License Number State | CT
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