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General NPI Number Information
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NPI Number | 1073814422
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES DIOCESE OF NORWICH
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 331 MAIN ST
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City | NORWICH
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State | CT
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Zip | 06360-5836
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Country | US
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Telephone | 860-889-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 128 SPITHEAD RD
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City | WATERFORD
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State | CT
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Zip | 06385-1923
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Country | US
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Telephone | 860-389-2591
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Fax |
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Authorized Official
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Title or Position | MSW INTERN
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Name | MS. KATIE LAWRENCE
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Credential |
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Telephone | 860-389-2591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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