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General NPI Number Information
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NPI Number | 1053731158
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Entity Type | Individual
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Provider Name | HOLLY VARANELLI LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 210 HOLABIRD AVE STE 336
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City | WINSTED
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State | CT
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Zip | 06098-1747
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Country | US
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Telephone | 860-485-4386
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Fax | 860-795-2008
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Provider Business Mailing Address
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Address Line | 368 HOGBACK ROAD PO BOX 235
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City | RIVERTON
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State | CT
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Zip | 06065-0235
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Country | US
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Telephone | 860-485-4386
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 006025
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License Number State | CT
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