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General NPI Number Information
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NPI Number | 1639506595
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Entity Type | Individual
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Provider Name | RONIT REGUER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 360 MONTAUK HWY
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City | WAINSCOTT
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State | NY
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Zip | 11975-2000
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Country | US
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Telephone | 631-808-3330
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Fax | 631-808-3330
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Provider Business Mailing Address
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Address Line | 31 S DEWITT PL
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City | MONTAUK
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State | NY
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Zip | 11954-5065
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Country | US
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Telephone | 631-668-5690
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078264
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License Number State | NY
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