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General NPI Number Information
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NPI Number | 1457750945
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Entity Type | Individual
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Provider Name | MARY KATHRYN RIEGEL MSW LSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 589 COVENTRY CT
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1646
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Country | US
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Telephone | 610-730-7132
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Fax | 610-262-1462
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Provider Business Mailing Address
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Address Line | 589 COVENTRY CT
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1646
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Country | US
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Telephone | 610-730-7132
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Fax | 610-262-1462
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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 | SW011184
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License Number State | PA
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