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General NPI Number Information
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NPI Number | 1467158337
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Entity Type | Organization
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Legal Business Name | EMPOWERMENT STRATEGIC SOLUTIONS
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 61 BRIDGEPORT AVE
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City | SHELTON
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State | CT
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Zip | 06484-3285
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Country | US
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Telephone | 203-520-3620
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BURRITT AVE
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City | STRATFORD
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State | CT
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Zip | 06615-5657
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Country | US
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Telephone | 203-520-3620
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. DAMMY BAMISILE
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Credential | MSW, LCSW, DPA
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Telephone | 203-520-3620
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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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