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General NPI Number Information
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NPI Number | 1346829710
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Entity Type | Organization
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Legal Business Name | EL HOGAR HISPANO DE TERAPIA, LLC
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 97 E MAIN ST # 2GH
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City | MERIDEN
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State | CT
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Zip | 06450-5693
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Country | US
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Telephone | 203-237-0937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1184
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City | NEW BRITAIN
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State | CT
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Zip | 06050-1184
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Country | US
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Telephone | 203-237-0937
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HECTOR M FIGUEROA-CRUZ
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Credential | LCSW, LADC
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Telephone | 203-237-0937
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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 |
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License Number State |
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