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General NPI Number Information
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NPI Number | 1336311786
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Entity Type | Individual
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Provider Name | CARMEN ROSA MARCANO-DAVIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 945 W RIVER ST
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City | MILFORD
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State | CT
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Zip | 06461-1917
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Country | US
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Telephone | 203-301-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 945 W RIVER ST
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City | MILFORD
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State | CT
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Zip | 06461-1917
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Country | US
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Telephone | 203-301-3330
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002969
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License Number State | CT
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