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General NPI Number Information
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NPI Number | 1366593865
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Entity Type | Individual
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Provider Name | HILLARY STERN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 134 A CONANTVILLE ROAD
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250
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Country | US
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Telephone | 860-208-8519
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Fax | 860-429-2227
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-0413
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Country | US
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Telephone | 860-208-8519
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Fax | 860-423-3566
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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 | 006032
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License Number State | CT
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