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General NPI Number Information
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NPI Number | 1487171989
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Entity Type | Organization
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Legal Business Name | FINISH RIGHT PLLC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 212 COLONY ST STE 1A
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City | MERIDEN
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State | CT
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Zip | 06451-3227
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Country | US
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Telephone | 860-888-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 174 RIDGEFIELD DR
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City | MIDDLETOWN
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State | CT
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Zip | 06457-6543
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Country | US
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Telephone | 860-888-6058
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Fax |
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Authorized Official
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Title or Position | FOUNDER/THERAPIST
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Name | AVERY ANISE WATSON
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Credential | LCSW
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Telephone | 860-888-6058
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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 | 009834
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License Number State | CT
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