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General NPI Number Information
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NPI Number | 1073534111
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Entity Type | Individual
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Provider Name | ANDRES F ARTEAGA LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1450 CHAPEL ST CHILDREN'S PSYCHIATRIC EMERGENCY SERVICE, CELENTANO 5
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City | NEW HAVEN
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State | CT
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Zip | 06511-4405
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Country | US
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Telephone | 203-789-3240
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Fax | 203-789-3871
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Provider Business Mailing Address
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Address Line | 615 CENTRAL AVE APT 3
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City | NEW HAVEN
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State | CT
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Zip | 06515-2124
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Country | US
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Telephone | 203-820-6145
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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 | 006193
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License Number State | CT
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