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General NPI Number Information
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NPI Number | 1801325626
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Entity Type | Organization
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Legal Business Name | LIFE IN PROGRESS
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 1 TOWNE PARK PLZ
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City | NORWICH
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State | CT
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Zip | 06360-2247
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Country | US
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Telephone | 860-908-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 577 JACKSON ST
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City | WILLIMANTIC
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State | CT
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Zip | 06226-1633
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Country | US
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Telephone | 860-908-3400
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | JOY ELLEN ZUZEL
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Credential | LPC
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Telephone | 860-908-3400
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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 | 2853
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License Number State | CT
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