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General NPI Number Information
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NPI Number | 1336737048
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Entity Type | Individual
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Provider Name | KENIA ESTHER EGOZCUE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 12 CURTIS ST STE 21
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City | MERIDEN
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State | CT
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Zip | 06450-5900
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Country | US
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Telephone | 203-409-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 151 CATHERINE DR
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City | MERIDEN
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State | CT
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Zip | 06450-2074
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Country | US
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Telephone | 860-770-9141
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4713
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License Number State | CT
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