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General NPI Number Information
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NPI Number | 1659813459
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Entity Type | Individual
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Provider Name | ABIGAIL DANA RUBEN LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 38 E 32ND ST 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-5507
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Country | US
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Telephone | 800-736-3739
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Fax |
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Provider Business Mailing Address
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Address Line | 10337 PARKSTONE WAY
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City | BOCA RATON
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State | FL
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Zip | 33498-6425
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Country | US
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Telephone | 954-789-9760
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 007512
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 14240
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License Number State | FL
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