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General NPI Number Information
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NPI Number | 1902199557
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Entity Type | Organization
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Legal Business Name | KAREN FOLEY-SCHAIN MA MED LLC
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 245 REDWOOD RD
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City | MANCHESTER
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State | CT
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Zip | 06040-6333
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Country | US
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Telephone | 860-508-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 245 REDWOOD ROAD
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 860-508-0332
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. KAREN F FOLEY-SCHAIN
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Credential | MA, MED
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Telephone | 860-508-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 000198
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License Number State | CT
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