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General NPI Number Information
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NPI Number | 1982755302
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Entity Type | Individual
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Provider Name | RUDOLPH J SIMARI JR.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 250 SECOND HILL RD
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City | BRIDGEWATER
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State | CT
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Zip | 06752-1031
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Country | US
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Telephone | 203-740-1700
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Fax | 860-354-2969
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Provider Business Mailing Address
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Address Line | 250 SECOND HILL RD
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City | BRIDGEWATER
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State | CT
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Zip | 06752-1031
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Country | US
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Telephone | 203-740-1700
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Fax | 860-354-2969
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000513
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License Number State | CT
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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 | 000007
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License Number State | CT
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