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General NPI Number Information
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NPI Number | 1609438126
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Entity Type | Organization
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Legal Business Name | DEBORAH K. ROSEN, LPC LLC
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Dates
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Enumeration Date | 07/04/2019
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Last Update Date | 07/04/2019
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Provider Practice Location Address
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Address Line | 357 WHITNEY AVE STE 201
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City | NEW HAVEN
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State | CT
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Zip | 06511-2364
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Country | US
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Telephone | 475-441-0829
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CLARK AVE
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City | BRANFORD
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State | CT
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Zip | 06405-4704
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Country | US
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Telephone | 475-441-0829
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MS. DEBORAH K. ROSEN
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Credential | LPC
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Telephone | 917-817-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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