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General NPI Number Information
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NPI Number | 1134347123
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Entity Type | Individual
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Provider Name | ROXANN INTRILIGATOR M.S.,M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 2269 SAW MILL RIVER RD BUILDING 1A
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City | ELMSFORD
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State | NY
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Zip | 10523-3832
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Country | US
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Telephone | 914-345-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WESTMINSTER DR
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1008
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Country | US
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Telephone | 914-772-7592
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 26NR11951700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 308911-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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