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General NPI Number Information
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NPI Number | 1689211401
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Entity Type | Individual
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Provider Name | COURTNEY CAREY
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Gender | Female
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Dates
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Enumeration Date | 12/01/2019
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Last Update Date | 12/01/2019
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Provider Practice Location Address
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Address Line | 15 VALLEY DR STE 1
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 203-900-1666
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Fax |
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Provider Business Mailing Address
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Address Line | 36 LEFFERT RD
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City | TRUMBULL
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State | CT
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Zip | 06611-4951
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Country | US
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Telephone | 203-554-6481
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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 | 006096
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License Number State | CT
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