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General NPI Number Information
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NPI Number | 1447753819
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Entity Type | Organization
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Legal Business Name | RIGGS PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 17 W 45TH ST STE 907
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City | NEW YORK
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State | NY
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Zip | 10036
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Country | US
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Telephone | 646-868-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 17 W 45TH ST STE 907
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City | NEW YORK
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State | NY
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Zip | 10036-4907
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Country | US
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Telephone | 646-868-8396
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | SALLY RIGGS
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Credential | PSYD
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Telephone | 347-460-7248
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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 |
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License Number State |
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