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General NPI Number Information
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NPI Number | 1639528466
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Entity Type | Organization
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Legal Business Name | THE DEVELOPMENT CENTER OF DARIEN
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 5 BROOK ST STE 1A
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City | DARIEN
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State | CT
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Zip | 06820-4549
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Country | US
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Telephone | 203-655-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BROOK ST STE 1A
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City | DARIEN
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State | CT
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Zip | 06820-4549
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Country | US
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Telephone | 203-655-9414
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCES ANN UNSSELL
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Credential | M.DIV, LP
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Telephone | 203-655-9414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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