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General NPI Number Information
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NPI Number | 1780137893
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Entity Type | Organization
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Legal Business Name | MICHELLE MINOGUE LMFT, LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 275 KATONA DR
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City | FAIRFIELD
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State | CT
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Zip | 06824-3524
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Country | US
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Telephone | 203-515-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 275 KATONA DR
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City | FAIRFIELD
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State | CT
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Zip | 06824-3524
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Country | US
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Telephone | 203-515-0970
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHELLE MINOGUE
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Credential |
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Telephone | 203-515-0970
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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 | 1831
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License Number State | CT
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