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General NPI Number Information
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NPI Number | 1053466979
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Entity Type | Individual
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Provider Name | JILL ARRONSON BACHMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 1506 POST RD STE 6
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City | FAIRFIELD
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State | CT
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Zip | 06824-5916
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Country | US
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Telephone | 203-550-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 7365 MAIN ST # 329
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City | STRATFORD
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State | CT
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Zip | 06614-1300
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Country | US
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Telephone | 203-550-2555
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 004765
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License Number State | CT
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