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General NPI Number Information
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NPI Number | 1457692782
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Entity Type | Individual
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Provider Name | JEREMIAH M KARANJA LPC
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Gender | Male
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 593 FARMINGTON AVE
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City | HARTFORD
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State | CT
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Zip | 06105-3038
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Country | US
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Telephone | 860-519-3117
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MICHELLE LN
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City | WINDSOR
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State | CT
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Zip | 06095-1680
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Country | US
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Telephone | 860-324-3965
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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 | 46-002250
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License Number State | CT
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