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General NPI Number Information
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NPI Number | 1013215201
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Entity Type | Individual
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Provider Name | DAVID LAWRENCE-HAWLEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 61 S MAIN ST STE 214
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2486
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Country | US
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Telephone | 860-969-2399
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Fax | 860-215-3016
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Provider Business Mailing Address
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Address Line | 140 N FRONTAGE RD
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1648
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Country | US
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Telephone | 860-456-2261
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Fax | 860-450-1357
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5572
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License Number State | CT
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