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General NPI Number Information
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NPI Number | 1750060463
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Entity Type | Individual
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Provider Name | CHARITY D FORD LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 11 EASTON ST
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City | HAMDEN
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State | CT
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Zip | 06514-5015
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Country | US
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Telephone | 203-507-0845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4106
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City | HAMDEN
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State | CT
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Zip | 06514-0106
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Country | US
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Telephone | 203-507-0845
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8082
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License Number State | CT
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