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General NPI Number Information
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NPI Number | 1861219305
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Entity Type | Individual
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Provider Name | MASKIT RONEN MFT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 120 N MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3717
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Country | US
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Telephone | 845-634-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 260 PIERMONT AVE
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City | NYACK
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State | NY
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Zip | 10960-4611
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Country | US
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Telephone | 845-232-0903
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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