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General NPI Number Information
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NPI Number | 1689945131
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Entity Type | Organization
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Legal Business Name | VANSCHAACK COUNSELING, LLC
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Dates
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Enumeration Date | 01/14/2012
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Last Update Date | 01/14/2012
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Provider Practice Location Address
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Address Line | 538 HOPMEADOW ST
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City | SIMSBURY
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State | CT
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Zip | 06070-2415
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Country | US
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Telephone | 860-430-8311
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Fax | 860-651-9558
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Provider Business Mailing Address
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Address Line | 81 SIMONDS AVE
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City | COLLINSVILLE
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State | CT
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Zip | 06019-3239
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Country | US
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Telephone | 860-430-8311
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Fax | 860-651-9558
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Authorized Official
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Title or Position | OWNER
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Name | JEANNE P VANSCHAACK
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Credential | LMFT
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Telephone | 860-430-8311
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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 | 001338
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License Number State | CT
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