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General NPI Number Information
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NPI Number | 1992249080
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Entity Type | Individual
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Provider Name | NANCY ELIZABETH OPORTO-BROWN J.D., MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 210 WETHERSFIELD AVE
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City | HARTFORD
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State | CT
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Zip | 06114-1113
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Country | US
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Telephone | 860-296-0094
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Fax | 860-206-1184
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Provider Business Mailing Address
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Address Line | 66 SUNSET RDG
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City | ROCKY HILL
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State | CT
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Zip | 06067-2913
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Country | US
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Telephone | 860-682-2718
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 008655
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License Number State | CT
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