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General NPI Number Information
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NPI Number | 1841825304
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Entity Type | Organization
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Legal Business Name | MAUREEN E EMERY LCSW1 PLLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 290 HARTFORD AVE
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City | EAST GRANBY
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State | CT
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Zip | 06026-9524
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Country | US
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Telephone | 860-836-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 290 HARTFORD AVE
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City | EAST GRANBY
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State | CT
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Zip | 06026-9524
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Country | US
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Telephone | 860-413-9487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAUREEN ELIZABETH EMERY
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Credential |
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Telephone | 860-836-8884
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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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