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General NPI Number Information
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NPI Number | 1376941625
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Entity Type | Individual
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Provider Name | DENISA EMILIA CIUCCI LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 39A WATERBURY RD
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City | PROSPECT
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State | CT
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Zip | 06712-1249
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Country | US
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Telephone | 203-758-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 68 ROSEMOUNT AVE
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City | WATERBURY
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State | CT
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Zip | 06708-3616
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Country | US
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Telephone | 203-707-7177
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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 | 000023
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License Number State | CT
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