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General NPI Number Information
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NPI Number | 1912272956
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Entity Type | Individual
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Provider Name | JILL SABRA SPRINGER LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 18 LEDGEBROOK DR SUITE E
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1664
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Country | US
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Telephone | 860-608-8524
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Fax | 860-642-9955
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Provider Business Mailing Address
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Address Line | 56 LAKE WILLIAMS DR
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City | LEBANON
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State | CT
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Zip | 06249-1918
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Country | US
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Telephone | 860-608-8524
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001058
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License Number State | CT
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