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General NPI Number Information
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NPI Number | 1932119872
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Entity Type | Individual
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Provider Name | LORI CARPENOS LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 566 PROSPECT AVE
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City | HARTFORD
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State | CT
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Zip | 06105-2920
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Country | US
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Telephone | 860-561-1919
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Fax | 860-232-7780
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Provider Business Mailing Address
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Address Line | 89 SHADOW LN APT B
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City | WEST HARTFORD
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State | CT
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Zip | 06110-2819
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Country | US
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Telephone | 860-561-1919
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Fax | 860-232-7780
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000551
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License Number State | CT
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