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General NPI Number Information
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NPI Number | 1467512269
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Entity Type | Individual
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Provider Name | LUIS MANUEL FELIX MSW
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 JEFFERSON ST
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City | HARTFORD
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State | CT
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Zip | 06106-5035
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Country | US
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Telephone | 860-527-1124
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Fax | 860-724-2539
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Provider Business Mailing Address
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Address Line | 106 JUDD ST
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City | BRISTOL
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State | CT
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Zip | 06010-4346
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Country | US
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Telephone | 860-261-4845
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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 | 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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