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General NPI Number Information
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NPI Number | 1386779361
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Entity Type | Individual
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Provider Name | RITA LOUISE GULICK-UNGERER RNC,MSN,CS,FNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 02/23/2019
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Provider Practice Location Address
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Address Line | 37 FRIEND ST
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City | LYNN
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State | MA
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Zip | 01902-3068
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Country | US
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Telephone | 978-518-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 308 SPRUCEWOOD LN
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City | CLINTON
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State | MA
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Zip | 01510-3933
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Country | US
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Telephone | 978-733-1550
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 173804
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License Number State | MA
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