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General NPI Number Information
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NPI Number | 1487077038
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Entity Type | Organization
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Legal Business Name | FRESH VOICE COUNSELING, LLC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 14 DEPOT PL SUITE 7
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City | BETHEL
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State | CT
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Zip | 06801-2540
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Country | US
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Telephone | 203-794-4707
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Fax | 877-812-4247
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Provider Business Mailing Address
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Address Line | 14 DEPOT PL SUITE 7
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City | BETHEL
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State | CT
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Zip | 06801-2540
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Country | US
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Telephone | 203-794-4707
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Fax | 877-812-4247
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Authorized Official
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Title or Position | OWNER, PRINCIPAL
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Name | MRS. ATHELA E. SIBILIA
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Credential | LCSW
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Telephone | 203-794-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 8547
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License Number State | CT
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