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General NPI Number Information
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NPI Number | 1356151930
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Entity Type | Individual
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Provider Name | C'MEIJAH DONALDSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 428 COLUMBUS AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 85 NUTMEG RD
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1335
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Country | US
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Telephone | 203-424-3346
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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 | 10399
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License Number State | CT
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