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General NPI Number Information
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NPI Number | 1467223594
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Entity Type | Organization
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Legal Business Name | EMPATHY PSYCHOTHERAPY
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 83 MICHAEL RD APT I
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City | NEW LONDON
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State | CT
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Zip | 06320-2413
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Country | US
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Telephone | 401-523-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 292 S FRONTAGE RD # 1011
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City | NEW LONDON
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State | CT
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Zip | 06320-2641
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Country | US
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Telephone | 401-523-1272
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | DOROTHY HIRALIEN
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Credential |
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Telephone | 401-523-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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