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General NPI Number Information
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NPI Number | 1184835670
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Entity Type | Organization
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Legal Business Name | RHODA BANKS LCSW LLC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 246 FEDERAL RD UNIT C-33
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-775-6269
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Fax | 203-740-7887
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Provider Business Mailing Address
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Address Line | 246 FEDERAL RD UNIT C-33
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-775-6269
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Fax | 203-740-7887
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. RHODA BANKS
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Credential | LCSW
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Telephone | 203-790-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 004155
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License Number State | CT
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