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General NPI Number Information
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NPI Number | 1467858126
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Entity Type | Individual
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Provider Name | CARMEN M MALDONADO PEPIN B.A
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Gender | Female
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 30 ARBOR ST
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City | HARTFORD
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State | CT
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Zip | 06106-1215
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Country | US
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Telephone | 860-231-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 30 ARBOR ST
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City | HARTFORD
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State | CT
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Zip | 06106-1215
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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