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General NPI Number Information
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NPI Number | 1497195523
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Entity Type | Organization
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Legal Business Name | ROBIN M. GILMARTIN, LCSW, LLC
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 737 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1744
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Country | US
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Telephone | 860-833-3368
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Fax | 860-756-5061
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Provider Business Mailing Address
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Address Line | 737 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1744
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Country | US
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Telephone | 860-833-3368
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Fax | 860-756-5061
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Authorized Official
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Title or Position | SOLE PRACTITIONER
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Name | MS. ROBIN M. GILMARTIN
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Credential | LCSW
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Telephone | 860-833-3368
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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 | 004274
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License Number State | CT
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