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General NPI Number Information
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NPI Number | 1700436185
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Entity Type | Individual
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Provider Name | ANNMARIE RIDINGS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 306 MOUNT PLEASANT ST
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City | NEW BEDFORD
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State | MA
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Zip | 02746-1539
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Country | US
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Telephone | 508-944-2158
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Fax |
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Provider Business Mailing Address
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Address Line | 20 TINKHAM LN
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1025
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Country | US
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Telephone | 508-944-2158
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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 | 4031
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License Number State | MA
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