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General NPI Number Information
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NPI Number | 1316431562
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Entity Type | Individual
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Provider Name | HEATHER ROSE CHOVITZ BA
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 5 SCIENCE PARK STE 2
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City | NEW HAVEN
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State | CT
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Zip | 06511-1989
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Country | US
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Telephone | 203-777-8648
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LINCOLN DRIVE
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City | WALLINGFORD
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State | CT
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Zip | 06492
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Country | US
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Telephone | 203-535-9908
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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