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General NPI Number Information
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NPI Number | 1780931865
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Entity Type | Individual
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Provider Name | DEBORAH DESCHAMPS
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 46 LEBANON HILL RD
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City | WOODSTOCK
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State | CT
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Zip | 06281-1324
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Country | US
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Telephone | 508-320-0729
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 617
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City | SOUTHBRIDGE
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State | MA
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Zip | 01550-0617
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Country | US
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Telephone | 508-320-0729
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1027758
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License Number State | AZ
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