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General NPI Number Information
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NPI Number | 1902225923
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Entity Type | Individual
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Provider Name | JENNIFER BROSNAN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 910 PLAINFIELD PIKE
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City | STERLING
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State | CT
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Zip | 06377-2003
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Country | US
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Telephone | 860-771-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 910 PLAINFIELD PIKE
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City | STERLING
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State | CT
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Zip | 06377-2003
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Country | US
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Telephone | 607-713-3993
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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 | 6793
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00880
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License Number State | RI
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Taxonomy #3
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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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