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General NPI Number Information
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NPI Number | 1750457826
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Entity Type | Individual
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Provider Name | ALYSON THERESA BAPTISTE-PARENT LADC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 243 E CENTER ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5205
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Country | US
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Telephone | 860-643-7421
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 ELLINGTON RD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-3512
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Country | US
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Telephone | 860-967-7591
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000561
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License Number State | CT
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