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General NPI Number Information
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NPI Number | 1679207666
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Entity Type | Individual
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Provider Name | KIMBERLY PIACENTE LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 80 5TH AVE RM 903
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City | NEW YORK
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State | NY
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Zip | 10011-7611
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Country | US
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Telephone | 844-866-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 430 NEW PARK AVE STE 102
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1142
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Country | US
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Telephone | 844-866-8336
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Fax | 716-213-4400
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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 | 014259
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License Number State | NY
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