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General NPI Number Information
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NPI Number | 1881853034
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Entity Type | Organization
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Legal Business Name | COMMUNITY RENEWAL TEAM
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 949 PLEASANT VALLEY RD APT 4-12
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-4237
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Country | US
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Telephone | 860-869-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 675 TOWER AVE
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City | HARTFORD
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State | CT
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Zip | 06112-1273
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Country | US
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Telephone | 860-560-9200
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | MRS. SABRINA ADAMS
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Credential | M.S.W.
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Telephone | 860-714-9200
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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 |
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License Number State |
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