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General NPI Number Information
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NPI Number | 1477184687
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Entity Type | Individual
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Provider Name | RUTH ALTAMURA-ROLL MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 26 MAIN ST 2ND FLOOR
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1460
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Country | US
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Telephone | 908-237-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CIRCLE DR
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3905
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Country | US
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Telephone | 908-237-2899
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00152700
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License Number State | NH
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