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General NPI Number Information
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NPI Number | 1124391511
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC MATTERS LLC
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 8 MAHAN DR
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City | NORWICH
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State | CT
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Zip | 06360-2426
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Country | US
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Telephone | 860-934-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 206 MCKINLEY AVENUE EXT
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City | NORWICH
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State | CT
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Zip | 06360-3536
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Country | US
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Telephone | 860-934-5123
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGER
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Name | MRS. KERRI A MCAVAY-REDNER
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Credential | LCSW
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Telephone | 860-934-5123
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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 | 006491
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License Number State | CT
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