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General NPI Number Information
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NPI Number | 1902438666
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Entity Type | Individual
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Provider Name | RACHEL LEBETKIN LPC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 47 BETHPAGE DR
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City | BETHEL
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State | CT
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Zip | 06801-2303
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Country | US
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Telephone | 203-648-3707
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Fax |
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Provider Business Mailing Address
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Address Line | 125 MAIN ST N
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City | WOODBURY
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State | CT
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Zip | 06798-2940
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Country | US
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Telephone | 203-648-3707
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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 | 4202
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License Number State | CT
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