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General NPI Number Information
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NPI Number | 1013053966
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR THE HISPANIC FAMILY
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 80 JEFFERSON ST
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City | HARTFORD
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State | CT
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Zip | 06106-5035
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Country | US
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Telephone | 860-527-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 142 VERNON AVE APT 55
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City | VERNON
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State | CT
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Zip | 06066-3648
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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 | COUNSELOR
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Name | MRS. MIRIAM CARRION-HAWKINS
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Credential |
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Telephone | 860-527-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0501481331
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License Number State | NY
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