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General NPI Number Information
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NPI Number | 1912502329
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Entity Type | Individual
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Provider Name | TASHA DUFRENE PHD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1 SCALE AVE STE 306
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City | RUTLAND
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State | VT
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Zip | 05701-4452
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Country | US
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Telephone | 802-342-4797
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Fax |
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Provider Business Mailing Address
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Address Line | 487 TULIPAN WAY
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City | TALENT
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State | OR
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Zip | 97540-8630
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Country | US
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Telephone | 831-818-6821
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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 | C10252
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 097.0134416
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License Number State | VT
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