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General NPI Number Information
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NPI Number | 1013340280
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Entity Type | Individual
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Provider Name | ALLISON RICCIARDI L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 10 E 16TH ST
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2911
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Country | US
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Telephone | 631-923-2777
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Fax | 631-923-2777
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Provider Business Mailing Address
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Address Line | PO BOX 1276
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City | HUNTINGTON
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State | NY
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Zip | 11743-0657
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Country | US
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Telephone | 631-223-8187
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Fax | 631-350-7120
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002607
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License Number State | NY
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