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General NPI Number Information
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NPI Number | 1801375092
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Entity Type | Organization
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Legal Business Name | LINDA R THORPE, LCSW, LLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | LITCHFIELD HILLS HEALING CENTER 760 BANTAM RD.
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City | BANTAM
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State | CT
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Zip | 06750
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Country | US
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Telephone | 203-232-0698
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Fax |
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Provider Business Mailing Address
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Address Line | 51 SKYLINE DR
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1718
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Country | US
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Telephone | 203-232-0698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA R THORPE
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Credential | LCSW
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Telephone | 203-232-0698
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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 | 008517
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License Number State |
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