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General NPI Number Information
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NPI Number | 1851831275
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Entity Type | Individual
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Provider Name | SCOTT PAUL OGURICK MS, LPC
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Gender | Male
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Dates
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Enumeration Date | 03/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 143 PINE HILL RD UNIT 22E
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City | THOMASTON
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State | CT
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Zip | 06787-1953
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Country | US
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Telephone | 860-484-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 143 PINE HILL RD UNIT 22 E
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City | THOMASTON
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State | CT
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Zip | 06787-1955
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Country | US
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Telephone | 203-841-8297
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 003063
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License Number State | CT
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