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General NPI Number Information
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NPI Number | 1356759625
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Entity Type | Individual
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Provider Name | RUBY KRIEGSMAN M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 25 MAIN ST STE 217
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3172
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Country | US
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Telephone | 413-200-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 25 NEW ST
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City | NORTHAMPTON
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State | MA
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Zip | 01062-1921
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Country | US
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Telephone | 413-200-8972
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1738
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License Number State | MA
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