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General NPI Number Information
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NPI Number | 1770915100
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Entity Type | Individual
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Provider Name | BRUCE P PAJOT LPC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 791 MOUNT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104-3257
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Country | US
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Telephone | 973-919-2214
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Fax | 860-474-5462
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Provider Business Mailing Address
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Address Line | 23 HERMAN WAY
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-1414
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00432000
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License Number State | NJ
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