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General NPI Number Information
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NPI Number | 1750877924
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT CARLINO
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 2911 DIXWELL AVE # 307B
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City | HAMDEN
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State | CT
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Zip | 06518-3195
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Country | US
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Telephone | 203-376-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 79 TURNER AVE FL 3
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City | TORRINGTON
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State | CT
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Zip | 06790-6314
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Country | US
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Telephone | 203-545-8453
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3464
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License Number State | CT
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