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General NPI Number Information
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NPI Number | 1336151398
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Entity Type | Individual
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Provider Name | NORMAN P RICHEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 61 BRADLEY ST STE 4
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City | BRISTOL
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State | CT
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Zip | 06010-5103
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Country | US
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Telephone | 860-589-2411
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Fax | 860-436-9805
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Provider Business Mailing Address
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Address Line | 221 KIMBERLEY RD
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City | NEWINGTON
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State | CT
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Zip | 06111-1626
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Country | US
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Telephone | 860-667-8324
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Fax | 860-436-9805
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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 | 000186
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License Number State | CT
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