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General NPI Number Information
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NPI Number | 1942327630
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Entity Type | Organization
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Legal Business Name | T.E.A.M. HEALTH, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 361 GRANVILLE RD
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City | N. GRANBY
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State | CT
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Zip | 06060-1008
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Country | US
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Telephone | 860-844-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 361 GRANVILLE RD
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City | N. GRANBY
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State | CT
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Zip | 06060-1008
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Country | US
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Telephone | 860-844-0525
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. TERI H. TENCER-CUTLER
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Credential | MA
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Telephone | 860-844-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 001219
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License Number State | CT
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