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General NPI Number Information
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NPI Number | 1104972769
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Entity Type | Individual
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Provider Name | BARBARA DESPRES LCSW ACSW
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 89 BLUE RIDGE RD
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City | WILTON
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State | CT
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Zip | 06897-2228
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Country | US
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Telephone | 203-834-0187
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Fax | 203-761-9028
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Provider Business Mailing Address
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Address Line | 89 BLUE RIDGE RD
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City | WILTON
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State | CT
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Zip | 06897-2228
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Country | US
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Telephone | 203-834-0187
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Fax | 203-761-9028
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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 | 000849
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR016414
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License Number State | NY
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