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General NPI Number Information
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NPI Number | 1578818795
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Entity Type | Organization
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Legal Business Name | DANIEL P FLEY LMFT LLC
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Dates
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Enumeration Date | 07/14/2012
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Last Update Date | 07/14/2012
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Provider Practice Location Address
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Address Line | 435 CHAPEL RD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-4104
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Country | US
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Telephone | 860-402-0861
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Fax | 860-436-6882
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Provider Business Mailing Address
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Address Line | 11 PRESTON RD
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-2820
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Country | US
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Telephone | 860-402-0861
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Fax | 860-436-6882
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Authorized Official
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Title or Position | OWNER OF LLC
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Name | MR. DANIEL P FOLEY
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Credential | LMFT
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Telephone | 860-402-0861
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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 | 001373
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License Number State | CT
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