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General NPI Number Information
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NPI Number | 1851716419
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Entity Type | Individual
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Provider Name | LUIS MIGUEL-ROMERO
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Gender | Male
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 101 SOUTH ST, WEST HARTFORD, CT
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City | WEST HARTFORD
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State | CT
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Zip | 06110
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Country | US
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Telephone | 860-578-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MATHER CIR
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-1341
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Country | US
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Telephone | 860-214-7393
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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