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General NPI Number Information
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NPI Number | 1679083661
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Entity Type | Individual
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Provider Name | COLLEEN PATRICIA DELZOTTI LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 2816 BLUEGRASS DR
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-1577
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Country | US
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Telephone | 513-400-6256
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Fax |
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Provider Business Mailing Address
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Address Line | 1243 E GLENWOOD CT
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City | AMELIA
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State | OH
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Zip | 45102-2638
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Country | US
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Telephone | 513-400-6256
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | KY
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