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General NPI Number Information
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NPI Number | 1255719175
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Entity Type | Organization
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Legal Business Name | A PATH WITH HEART LLC
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 152 DEER HILL AVE SUITE 113
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City | DANBURY
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State | CT
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Zip | 06810-7791
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Country | US
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Telephone | 203-240-4683
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Fax |
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Provider Business Mailing Address
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Address Line | 9 KRISTY DR
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City | BETHEL
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State | CT
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Zip | 06801-3001
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Country | US
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Telephone | 203-240-4683
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STEPHEN M BECK
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Credential |
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Telephone | 203-240-4683
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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 | 006707
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License Number State | CT
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