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General NPI Number Information
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NPI Number | 1306514484
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Entity Type | Individual
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Provider Name | ABIGAIL SEVIGNY LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 30 HOLMES AVE
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City | WATERBURY
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State | CT
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Zip | 06710-2412
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Country | US
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Telephone | 203-733-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 6 BURR RD APT A
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City | PLYMOUTH
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State | CT
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Zip | 06782-2221
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Country | US
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Telephone | 860-830-8299
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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 | 4943
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License Number State | CT
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