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General NPI Number Information
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NPI Number | 1336593672
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Entity Type | Individual
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Provider Name | SAMANTHA HIGGINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 111 PEARL ST
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City | HARTFORD
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State | CT
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Zip | 06103-2449
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Country | US
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Telephone | 203-585-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 111 PEARL ST # W201
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City | HARTFORD
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State | CT
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Zip | 06103-2449
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Country | US
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Telephone | 203-767-8840
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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 | 002710
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 010176
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License Number State | CT
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