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General NPI Number Information
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NPI Number | 1922642677
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Entity Type | Organization
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Legal Business Name | R COOMBS LLC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 412 MAIN ST
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City | DANBURY
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State | CT
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Zip | 06810-4730
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Country | US
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Telephone | 203-730-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 412 MAIN ST
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City | DANBURY
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State | CT
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Zip | 06810-4730
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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 | OWNER
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Name | RACHEL E COOMBS
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Credential | LPC
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Telephone | 203-794-4765
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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 |
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License Number State |
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