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General NPI Number Information
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NPI Number | 1487229225
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Entity Type | Individual
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Provider Name | TRACY LEE DEMPSEY LPC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 17 ELIZABETH ST
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City | DERBY
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State | CT
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Zip | 06418-1840
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Country | US
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Telephone | 475-777-5905
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Fax | 475-777-5909
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Provider Business Mailing Address
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Address Line | 162 FOREST RD
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City | WEST HAVEN
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State | CT
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Zip | 06516-1301
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Country | US
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Telephone | 203-331-6606
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 004829
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License Number State | CT
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