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General NPI Number Information
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NPI Number | 1972950525
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Entity Type | Organization
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Legal Business Name | NINA ALLRED,LPC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 152 DEER HILL AVE
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City | DANBURY
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State | CT
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Zip | 06810-7791
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Country | US
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Telephone | 203-240-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 31 YOGANANDA ST
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City | SANDY HOOK
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State | CT
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Zip | 06482-1514
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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 | SOLE PROPRIETOR
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Name | NINA ALLRED
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Credential | LPC
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Telephone | 203-470-5997
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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 | 002308
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License Number State | CT
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