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General NPI Number Information
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NPI Number | 1427616077
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Entity Type | Organization
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Legal Business Name | THERIGATHA CENTER FOR PSYCHOTHERAPY
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 68 BRIDGE ST UNIT 301
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City | SUFFIELD
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State | CT
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Zip | 06078-3108
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Country | US
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Telephone | 860-392-9599
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Fax | 860-545-7473
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Provider Business Mailing Address
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Address Line | 68 BRIDGE ST UNIT 301
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City | SUFFIELD
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State | CT
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Zip | 06078-3108
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Country | US
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Telephone | 860-392-9599
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Fax | 860-545-7473
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. SUNSHINE FINNERAN
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Credential | LCSW
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Telephone | 860-392-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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