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General NPI Number Information
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NPI Number | 1548025851
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Entity Type | Organization
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Legal Business Name | GUIDED BY INTUITION PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 14 MIDDLETON RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1562
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Country | US
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Telephone | 203-313-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 16 RAILROAD PL # 1022
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City | WESTPORT
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State | CT
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Zip | 06880-5912
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Country | US
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Telephone | 203-313-7945
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | NICOLE KRAUS
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Credential | LCSW
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Telephone | 203-313-7935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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