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General NPI Number Information
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NPI Number | 1043196959
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Entity Type | Individual
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Provider Name | RACHEL MIRIAM BONAPARTE LCSW
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Gender |
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 675 MAIN ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2732
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Country | US
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Telephone | 203-347-6971
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Fax | 860-343-7379
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Provider Business Mailing Address
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Address Line | 2418 MAIN ST UNIT 6221
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City | ROCKY HILL
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State | CT
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Zip | 06067-2573
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Country | US
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Telephone | 860-936-8107
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Fax | 860-936-8107
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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 | 15582
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License Number State | CT
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