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General NPI Number Information
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NPI Number | 1528302981
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Entity Type | Organization
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Legal Business Name | SARAH L WARD
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Dates
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Enumeration Date | 11/23/2012
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 56 ARBOR ST SUITE 323
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City | HARTFORD
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State | CT
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Zip | 06106-1222
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Country | US
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Telephone | 860-236-0780
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Fax | 860-236-0781
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Provider Business Mailing Address
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Address Line | 56 ARBOR ST SUITE 323
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City | HARTFORD
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State | CT
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Zip | 06106-1222
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Country | US
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Telephone | 860-236-0780
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Fax | 860-236-0781
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH L WARD
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Credential | LCSW
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Telephone | 860-236-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 007960
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License Number State | CT
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