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General NPI Number Information
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NPI Number | 1104989243
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Entity Type | Individual
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Provider Name | CLAIRE W BAMBERG D.MIN, LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 799 HOPMEADOW ST THE ANNEX
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City | SIMSBURY
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State | CT
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Zip | 06070-1821
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Country | US
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Telephone | 860-658-7710
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Fax | 860-658-7710
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Provider Business Mailing Address
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Address Line | 223 STRATTON BROOK RD
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City | WEST SIMSBURY
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State | CT
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Zip | 06092-2430
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Country | US
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Telephone | 860-658-7710
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Fax | 860-658-7710
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39000252A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001193
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001454A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 100-0000038
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License Number State | VT
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