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General NPI Number Information
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NPI Number | 1942019716
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Entity Type | Individual
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Provider Name | TANYA CHIKIRA SMITH LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 541 WOLCOTT ST
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City | WATERBURY
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State | CT
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Zip | 06705-1334
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Country | US
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Telephone | 203-591-1822
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Fax |
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Provider Business Mailing Address
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Address Line | 110 STONEFIELD DR APT 7
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City | WATERBURY
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State | CT
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Zip | 06705-3322
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Country | US
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Telephone | 203-805-2535
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10518
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License Number State | CT
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