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General NPI Number Information
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NPI Number | 1366116022
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Entity Type | Individual
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Provider Name | ERICA DAWN MULLER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 14 MAPLE ST
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City | TERRYVILLE
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State | CT
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Zip | 06786-5220
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Country | US
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Telephone | 203-232-5971
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Fax |
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Provider Business Mailing Address
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Address Line | 36 TODD HOLLOW RD
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City | PLYMOUTH
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State | CT
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Zip | 06782-2321
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Country | US
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Telephone | 860-620-7223
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5877
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7485
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License Number State | CT
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