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General NPI Number Information
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NPI Number | 1093252090
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Entity Type | Individual
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Provider Name | MIRANDA E ROSENKRANTZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 38B GROVE ST
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4665
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Country | US
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Telephone | 860-930-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SEIR HILL RD APT 4
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City | NORWALK
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State | CT
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Zip | 06850-1373
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Country | US
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Telephone | 860-930-7270
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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 | 9703
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License Number State | CT
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