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General NPI Number Information
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NPI Number | 1700126877
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC CONNECTIONS, LLC
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 2 NUTMEG CT
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City | SIMSBURY
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State | CT
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Zip | 06070-2425
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Country | US
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Telephone | 203-913-0473
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Fax | 860-217-1363
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Provider Business Mailing Address
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Address Line | 2 NUTMEG CT
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City | SIMSBURY
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State | CT
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Zip | 06070-2425
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Country | US
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Telephone | 203-913-0473
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Fax | 860-217-1363
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Authorized Official
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Title or Position | OWNER/BCBA
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Name | CHRISTINE LEVINE
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Credential | M.S., J.D., BCBA
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Telephone | 203-913-0473
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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 |
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License Number State |
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