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General NPI Number Information
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NPI Number | 1467877449
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Entity Type | Organization
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Legal Business Name | MICHAEL KOLPINSKI, LPC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 196 WALNUT ST
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City | SEYMOUR
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State | CT
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Zip | 06483-3629
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Country | US
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Telephone | 203-499-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 196 WALNUT ST
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City | SEYMOUR
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State | CT
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Zip | 06483-3629
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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 | THERAPIST/CLINICIAN
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Name | MICHAEL KOLPINSKI
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Credential | LPC
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Telephone | 203-499-9101
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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 | CT001758
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License Number State | CT
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