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General NPI Number Information
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NPI Number | 1275240277
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Entity Type | Organization
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Legal Business Name | AWEN PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 558 BEAVER MEADOW RD
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City | HIGGANUM
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State | CT
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Zip | 06441-4409
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Country | US
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Telephone | 203-400-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 558 BEAVER MEADOW RD
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City | HIGGANUM
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State | CT
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Zip | 06441-4409
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Country | US
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Telephone | 203-400-5580
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. LAUREN ELIZABETH LINN
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Credential | PH.D.
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Telephone | 203-400-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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