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General NPI Number Information
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NPI Number | 1629177787
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Entity Type | Individual
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Provider Name | ROBIN MARY GILMARTIN MSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 WILLARD AVE MHC, BLDG 1, 3RD FLOOR
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City | NEWINGTON
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State | CT
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Zip | 06111-2631
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Country | US
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Telephone | 860-594-6335
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Fax | 860-594-6364
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Provider Business Mailing Address
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Address Line | 10 DUNCASTER RD
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City | BLOOMFIELD
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State | CT
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Zip | 06002-1504
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Country | US
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Telephone | 860-242-4832
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Fax | 869-594-6364
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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 | 004274
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License Number State | CT
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