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General NPI Number Information
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NPI Number | 1407259286
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Entity Type | Individual
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Provider Name | MICHAEL HEMENWAY LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 1 KINGSTON DR. UNIT 1
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City | ANSONIA
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State | CT
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Zip | 06401
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Country | US
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Telephone | 203-305-3546
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Fax |
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Provider Business Mailing Address
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Address Line | 4 REDWOOD DR.
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City | OXFORD
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State | CT
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Zip | 06478-1987
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Country | US
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Telephone | 203-305-3546
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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