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General NPI Number Information
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NPI Number | 1386537280
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Entity Type | Individual
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Provider Name | PETER KAPITANCEK LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 25 SOUTH ST
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City | LITCHFIELD
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State | CT
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Zip | 06759-4005
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Country | US
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Telephone | 860-393-2520
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Fax | 860-567-0300
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Provider Business Mailing Address
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Address Line | 214 DALEY DR
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City | TORRINGTON
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State | CT
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Zip | 06790-3467
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Country | US
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Telephone | 203-673-6085
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 014803
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License Number State | CT
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