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General NPI Number Information
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NPI Number | 1194572628
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Entity Type | Individual
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Provider Name | SOLANLLY CANAS-MUNETON LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 450 CHURCH ST
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City | HARTFORD
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State | CT
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Zip | 06103-1107
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Country | US
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Telephone | 860-670-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PRESCOTT ST FL 1
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City | MERIDEN
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State | CT
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Zip | 06450-3315
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Country | US
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Telephone | 203-668-7911
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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 | 013611
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License Number State | CT
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