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General NPI Number Information
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NPI Number | 1679169080
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Entity Type | Individual
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Provider Name | EMILY FELSKE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 12/19/2020
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Provider Practice Location Address
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Address Line | 341 WEST STREET UNIT B
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City | SOUTHINGTON
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State | CT
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Zip | 06479-0647
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Country | US
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Telephone | 847-772-8719
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Fax |
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Provider Business Mailing Address
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Address Line | 287 DUCK HOLE RD
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City | MADISON
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State | CT
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Zip | 06443-2536
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Country | US
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Telephone | 847-772-8719
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 46.004665
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License Number State | CT
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