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General NPI Number Information
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NPI Number | 1669368437
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Entity Type | Individual
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Provider Name | AVERY HOPE KELLY MFT-A
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 586 MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-1812
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Country | US
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Telephone | 860-769-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 390 ROXBURY RD APT 206
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City | SOUTHBURY
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State | CT
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Zip | 06488-3239
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Country | US
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Telephone | 631-312-2628
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3570
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License Number State | CT
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