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General NPI Number Information
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NPI Number | 1447949508
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Entity Type | Organization
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Legal Business Name | ALIGN YOUR MIND LLC
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 66 CEDAR ST STE 201
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City | NEWINGTON
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State | CT
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Zip | 06111-2646
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Country | US
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Telephone | 860-801-0154
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Fax |
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Provider Business Mailing Address
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Address Line | 171 ELLIS ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. ALYSSA K FORDE
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Credential | LCSW
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Telephone | 860-801-0154
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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 |
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License Number State |
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