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General NPI Number Information
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NPI Number | 1609017359
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Entity Type | Individual
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Provider Name | DEIRDRE MARIE RAGGINS M.S., ED.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 2441 S ELM AVE
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City | SANFORD
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State | FL
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Zip | 32771-4443
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Country | US
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Telephone | 407-375-0242
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Fax | 407-245-0577
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Provider Business Mailing Address
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Address Line | PO BOX 2565
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City | SANFORD
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State | FL
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Zip | 32772-2565
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Country | US
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Telephone | 407-375-0242
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Fax | 407-245-0577
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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