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General NPI Number Information
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NPI Number | 1790166890
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Entity Type | Individual
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Provider Name | RUTH TORTORIELLO LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 30 E 68TH ST APT 5C
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City | NEW YORK
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State | NY
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Zip | 10065-5992
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Country | US
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Telephone | 347-927-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 4142 50TH ST APT. 5B
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City | WOODSIDE
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State | NY
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Zip | 11377-4354
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Country | US
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Telephone | 516-578-6445
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 009346-1
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License Number State | NY
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