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General NPI Number Information
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NPI Number | 1568553840
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Entity Type | Individual
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Provider Name | CHRISTINE A RAGUSA LMFT RD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 381 HUBBARD STREET
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City | GLASTONBURY
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State | CT
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Zip | 06033
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Country | US
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Telephone | 860-734-0002
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Fax | 860-295-0022
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Provider Business Mailing Address
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Address Line | 24 WILLIAMSBURG ROAD
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City | MARLBOROUGH
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State | CT
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Zip | 06447
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Country | US
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Telephone | 860-295-0138
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Fax | 860-295-0022
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000922
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 000385
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License Number State | CT
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