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General NPI Number Information
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NPI Number | 1528971942
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Entity Type | Individual
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Provider Name | IPEK SU TALU MSED
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 469 HOWE AVE
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City | SHELTON
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State | CT
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Zip | 06484-3155
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Country | US
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Telephone | 203-231-8804
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Fax |
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Provider Business Mailing Address
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Address Line | 208 W 23RD ST APT 1015
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City | NEW YORK
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State | NY
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Zip | 10011-2316
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Country | US
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Telephone | 858-337-6803
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10276
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License Number State | CT
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