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General NPI Number Information
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NPI Number | 1306654744
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Entity Type | Individual
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Provider Name | CATHLEEN BRUSO LCAT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 111 COUNTY CIR
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City | AMHERST
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State | MA
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Zip | 01003-9255
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Country | US
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Telephone | 413-545-2337
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Fax |
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Provider Business Mailing Address
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Address Line | 24 STODDARD ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2289
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Country | US
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Telephone | 413-270-4770
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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