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General NPI Number Information
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NPI Number | 1184733826
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Entity Type | Individual
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Provider Name | RUTH ROBIN PINE LCSW-R, MA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 65 PROSPECT ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1143
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Country | US
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Telephone | 845-255-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 65 PROSPECT ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1143
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Country | US
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Telephone | 845-443-9722
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 045307
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | R045307
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License Number State | NY
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