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General NPI Number Information
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NPI Number | 1528310273
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Entity Type | Organization
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Legal Business Name | WROBEL WELLNESS GROUP, LLC
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 10/06/2012
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Provider Practice Location Address
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Address Line | 9 HEMINGWAY ST
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City | PLAINVILLE
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State | CT
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Zip | 06062-2618
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Country | US
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Telephone | 860-961-1571
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Fax | 866-591-9668
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Provider Business Mailing Address
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Address Line | 9 HEMINGWAY ST
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City | PLAINVILLE
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State | CT
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Zip | 06062-2618
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Country | US
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Telephone | 860-961-1571
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Fax | 866-591-9668
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Authorized Official
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Title or Position | LMFT
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Name | TATUM WROBEL
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Credential | MFT
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Telephone | 860-967-1571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001384
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License Number State | CT
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