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General NPI Number Information
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NPI Number | 1871415240
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Entity Type | Individual
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Provider Name | AMBERLYN GRASSO
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 91 LITTLE CITY RD
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City | HIGGANUM
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State | CT
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Zip | 06441-4323
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Country | US
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Telephone | 978-852-6758
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Fax |
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Provider Business Mailing Address
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Address Line | 7132 TOWN RDG
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City | MIDDLETOWN
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State | CT
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Zip | 06457-6548
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Country | US
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Telephone | 978-852-6758
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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 | 9651
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License Number State | CT
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