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General NPI Number Information
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NPI Number | 1093191637
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Entity Type | Organization
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Legal Business Name | THE HOPE CONNECTION LLC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 83 HALLS RD SUITE 203
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City | OLD LYME
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State | CT
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Zip | 06371-4409
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Country | US
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Telephone | 860-598-0111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | OLD LYME
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State | CT
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Zip | 06371-0579
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Country | US
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Telephone | 860-598-0111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAREN BUROFF
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Credential | LCSW
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Telephone | 860-227-5805
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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 | 008134
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License Number State | CT
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