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General NPI Number Information
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NPI Number | 1457767360
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Entity Type | Organization
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Legal Business Name | JENNY ALZATE LPC LLC
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 998 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2162
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Country | US
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Telephone | 860-729-6138
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Fax |
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Provider Business Mailing Address
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Address Line | 998 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2162
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Country | US
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Telephone | 860-729-6138
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. JENNY ALZATE
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Credential | MS
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Telephone | 860-729-6138
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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 | 001777
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License Number State | CT
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