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General NPI Number Information
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NPI Number | 1326852823
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Entity Type | Individual
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Provider Name | JOSEPHINE PAULA SANSEVERINO LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 94 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3013
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Country | US
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Telephone | 860-528-1359
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Fax | 860-528-1359
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Provider Business Mailing Address
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Address Line | 5 LYNN AVE
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City | TERRYVILLE
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State | CT
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Zip | 06786-5020
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Country | US
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Telephone | 203-578-5333
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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 | 7372
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License Number State | CT
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