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General NPI Number Information
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NPI Number | 1932401718
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Entity Type | Organization
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Legal Business Name | ROSE P. COLADARCI LCSW, LLC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 246 FEDERAL RD SUITE C23-A
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-744-8399
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Fax | 203-744-8399
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Provider Business Mailing Address
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Address Line | 1 5TH ST
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City | DANBURY
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State | CT
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Zip | 06810-5703
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Country | US
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Telephone | 203-744-8399
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Fax | 203-744-8399
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ROSE P. COLADARCI
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Credential | LCSW
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Telephone | 203-744-8399
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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 | 004585
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License Number State | CT
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