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General NPI Number Information
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NPI Number | 1750824157
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Entity Type | Individual
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Provider Name | MRS. JAMIE ADAMETZ
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Gender | Female
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 370 LINWOOD ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1949
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Country | US
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Telephone | 860-877-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 246 ROUTE 148
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City | KILLINGWORTH
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State | CT
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Zip | 06419-2305
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001847
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License Number State | CT
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