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General NPI Number Information
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NPI Number | 1942417514
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Entity Type | Individual
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Provider Name | MARSHA R BELLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 378 BOSTON POST RD SUITE 202
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City | ORANGE
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State | CT
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Zip | 06477-3523
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Country | US
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Telephone | 203-799-0138
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Fax | 203-795-2727
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Provider Business Mailing Address
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Address Line | 1890 DIXWELL AVE SUITE 207
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City | HAMDEN
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State | CT
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Zip | 06514-3122
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Country | US
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Telephone | 203-407-6444
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Fax | 203-407-6442
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 001505
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License Number State | CT
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