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General NPI Number Information
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NPI Number | 1376081620
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Entity Type | Organization
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Legal Business Name | FAMILY SOLUTIONS CT LLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 7 OLD SHERMAN TPKE SUITE 102
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City | DANBURY
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State | CT
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Zip | 06810
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Country | US
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Telephone | 203-910-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 10 RIDGECREST RD
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City | DANBURY
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State | CT
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Zip | 06811-3651
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Country | US
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Telephone | 203-910-2345
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DIGBY ROBERT BARRIOS
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Credential | PSYD
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Telephone | 203-910-2345
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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 | 2688
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License Number State | CT
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