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General NPI Number Information
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NPI Number | 1447382791
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Entity Type | Individual
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Provider Name | RUCHAMA SEIDMAN FUND PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/10/2008
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Provider Practice Location Address
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Address Line | 1280 E 12TH ST APT 3C
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City | BROOKLYN
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State | NY
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Zip | 11230-5231
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Country | US
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Telephone | 718-252-3440
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Fax | 718-758-0281
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Provider Business Mailing Address
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Address Line | 1049 E 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-4201
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Country | US
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Telephone | 718-252-3440
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Fax | 718-758-0281
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9334
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License Number State | NY
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