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General NPI Number Information
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NPI Number | 1740193077
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Entity Type | Organization
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Legal Business Name | DOVE FORENSIC & CLINICAL CONSULTING LLC
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 1127 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06708-2764
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Country | US
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Telephone | 860-328-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 434 N MAIN ST APT 6
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City | MANCHESTER
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State | CT
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Zip | 06042-1957
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Country | US
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Telephone | 860-328-5620
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMANI IMANI DOVE
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Credential | LCSW
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Telephone | 860-328-5620
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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 |
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License Number State |
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