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General NPI Number Information
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NPI Number | 1841900305
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Entity Type | Individual
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Provider Name | ARTHUR JAMES ANDERSON LCSW, RN
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Gender | Male
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Dates
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Enumeration Date | 11/24/2022
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 267 GRANT ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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Country | US
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Telephone | 203-494-0499
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Fax |
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Provider Business Mailing Address
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Address Line | 494 NEWFIELD RD
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City | TORRINGTON
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State | CT
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Zip | 06790-2807
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Country | US
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Telephone | 203-494-0499
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Fax | 203-494-0499
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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 | 11179
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 197887
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13547
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License Number State | CT
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