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General NPI Number Information
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NPI Number | 1891214458
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Entity Type | Organization
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Legal Business Name | RACHEL LOPES
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 09/14/2017
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Provider Practice Location Address
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Address Line | 132 MONROE TURNPIKE, 3RD FLOOR SUITE 1
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City | TRUMBULL
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State | CT
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Zip | 06611
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Country | US
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Telephone | 203-816-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 75 TELLER RD
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City | TRUMBULL
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State | CT
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Zip | 06611-1420
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW/OWNER
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Name | MS. RACHEL LOPES
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Credential |
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Telephone | 203-994-9330
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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 | 006247
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License Number State | CT
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