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General NPI Number Information
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NPI Number | 1427781145
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Entity Type | Individual
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Provider Name | RACHEL BUTLER PAGNOTTI PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 280 S MAIN ST # 102
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City | CHESHIRE
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State | CT
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Zip | 06410-3112
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Country | US
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Telephone | 860-870-6358
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Fax |
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Provider Business Mailing Address
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Address Line | 7 COLONIAL DR
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City | BETHEL
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State | CT
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Zip | 06801-1228
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Country | US
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Telephone | 551-427-9112
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 4241
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License Number State | CT
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