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General NPI Number Information
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NPI Number | 1578827200
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Entity Type | Organization
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Legal Business Name | DEBORAH A AUGENBRAUN, PSYD LLC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 246 FEDERAL RD SUITE C23-A
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-809-1715
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Fax |
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Provider Business Mailing Address
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Address Line | 70 RIVERSIDE RD
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City | SANDY HOOK
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State | CT
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Zip | 06482-1209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DEBORAH AUGENBRAUN
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Credential | PSYD
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Telephone | 203-809-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2944
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License Number State | CT
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