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General NPI Number Information
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NPI Number | 1487845632
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Entity Type | Individual
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Provider Name | SVETLANA BERLINSKY
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 587 E MIDDLE TPKE CHR GENESIS CENTER
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City | MANCHESTER
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State | CT
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Zip | 06040-3731
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Country | US
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Telephone | 860-646-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HUNTINGTON DR
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1914
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Country | US
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Telephone | 860-236-8589
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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 | 005852
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License Number State | CT
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