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General NPI Number Information
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NPI Number | 1770847782
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Entity Type | Individual
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Provider Name | CHRISTINA M SPANO-RUGGIERO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 26 CENTER CIR
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City | WASSAIC
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State | NY
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Zip | 12592-2637
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Country | US
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Telephone | 845-877-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 33 WESTON AVE
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City | FISHKILL
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State | NY
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Zip | 12524-1124
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Country | US
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Telephone | 845-896-2525
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 015716
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License Number State | NY
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