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NPI 1730664608

NPI 1730664608 : NANCY ARNOLD LPC : TOLLAND, CT

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General NPI Number Information
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    NPI Number           |    1730664608
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY ARNOLD LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/26/2018
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    Last Update Date     |    09/26/2018
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Provider Practice Location Address
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    Address Line         |    384 MERROW RD STE P 
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    City                 |    TOLLAND
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    State                |    CT
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    Zip                  |    06084-3970
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    Country              |    US
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    Telephone            |    860-454-7454
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    Fax                  |    860-872-5558
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Provider Business Mailing Address
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    Address Line         |    446 HARTFORD AVE 
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    City                 |    WETHERSFIELD
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    State                |    CT
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    Zip                  |    06109-1213
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    Country              |    US
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    Telephone            |    860-712-2652
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    Fax                  |    860-872-5558
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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       |    003525
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    License Number State |    CT
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