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General NPI Number Information
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NPI Number | 1518176627
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Entity Type | Individual
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Provider Name | RUTH MARILYN KALUSKI LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 340 E 24TH ST
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City | NEW YORK
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State | NY
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Zip | 10010-4019
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Country | US
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Telephone | 212-585-6072
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Fax | 212-585-6011
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Provider Business Mailing Address
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Address Line | 36 W MCCLELLAN AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1243
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Country | US
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Telephone | 973-597-0459
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Fax | 973-597-0465
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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 | 18 003849
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License Number State | NY
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