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General NPI Number Information
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NPI Number | 1750360756
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Entity Type | Individual
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Provider Name | JUDITH ANN PALINKAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 310 CENTER ST
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City | WEST HARTLAND
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State | CT
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Zip | 06091-4307
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Country | US
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Telephone | 860-238-7520
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Fax | 860-738-9956
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Provider Business Mailing Address
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Address Line | 310 CENTER ST
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City | WEST HARTLAND
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State | CT
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Zip | 06091-4307
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Country | US
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Telephone | 860-238-7520
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Fax | 860-738-9956
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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 |
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License Number State | CT
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