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General NPI Number Information
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NPI Number | 1447325683
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Entity Type | Individual
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Provider Name | LOUIS ANDREW DELEGAN JR. LPC MA
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 132 MANSFIELD AVE
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City | WILLIMANTIC
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State | CT
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Zip | 06226-2027
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Country | US
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Telephone | 860-456-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 N MAIN ST
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City | DAYVILLE
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State | CT
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Zip | 06241-2170
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Country | US
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Telephone | 860-456-2261
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1511
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License Number State | CT
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