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General NPI Number Information
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NPI Number | 1447542493
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Entity Type | Organization
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Legal Business Name | RAYMOND OAKES, MSW, LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 1 ESSEX SQ
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City | ESSEX
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State | CT
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Zip | 06426-1141
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Country | US
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Telephone | 860-767-1887
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ESSEX SQ
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City | ESSEX
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State | CT
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Zip | 06426-1141
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Country | US
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Telephone | 860-767-1887
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. RAYMOND SILVESTER OAKES
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Credential | MSW
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Telephone | 860-767-1887
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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 | 000127
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License Number State | CT
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