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General NPI Number Information
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NPI Number | 1205462348
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Entity Type | Organization
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Legal Business Name | STILLPOINT INC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 369 NORTH GRANBY ROAD
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City | NORTH GRANBY
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State | CT
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Zip | 06060
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Country | US
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Telephone | 860-650-1651
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Fax | 860-413-0981
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Provider Business Mailing Address
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Address Line | 369 NORTH GRANBY ROAD
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City | NORTH GRANBY
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State | CT
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Zip | 06060
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Country | US
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Telephone | 860-650-1651
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MICHELLE LOUISE BICKING
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Credential | JP LCSW MPA CD/DONA
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Telephone | 860-650-1651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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