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General NPI Number Information
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NPI Number | 1356686133
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Entity Type | Individual
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Provider Name | CORINNE P LOVEJOY L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 4 HOLT ST
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City | TERRYVILLE
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State | CT
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Zip | 06786-4626
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Country | US
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Telephone | 860-690-2548
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Fax | 860-585-5327
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Provider Business Mailing Address
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Address Line | 4 HOLT ST
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City | TERRYVILLE
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State | CT
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Zip | 06786-4626
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Country | US
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Telephone | 860-690-2548
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Fax | 860-585-5327
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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 | 002171
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 5517432814
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License Number State | CT
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