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General NPI Number Information
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NPI Number | 1235920760
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Entity Type | Individual
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Provider Name | NICOLE ANN PIERCE
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | FROURISH THERAPEAUTICS LLC 116 SACHEM STREET
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City | NORWICH
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State | CT
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Zip | 06360
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Country | US
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Telephone | 860-337-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 51 MARION LN
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City | CANTERBURY
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State | CT
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Zip | 06331-1925
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Country | US
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Telephone | 860-215-1254
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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 | 15197
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License Number State | CT
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