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General NPI Number Information
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NPI Number | 1891679072
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Entity Type | Individual
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Provider Name | ALYSA ADAMCEWICZ
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 682 PROSPECT AVE STE 103
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City | HARTFORD
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State | CT
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Zip | 06105-4238
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Country | US
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Telephone | 860-663-8131
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Fax |
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Provider Business Mailing Address
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Address Line | 20 VERNON ST # 2
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City | HARTFORD
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State | CT
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Zip | 06106-3213
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Country | US
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Telephone |
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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 | 8726
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License Number State | CT
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