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General NPI Number Information
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NPI Number | 1861568370
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Entity Type | Individual
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Provider Name | RITA LOUISE CORRIEL PA LIC PSYCHOL
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 244 N 5TH ST CALLOWHILL FAMILY THERAPY
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City | READING
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State | PA
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Zip | 19601
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Country | US
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Telephone | 610-372-8822
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Fax | 610-372-6626
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Provider Business Mailing Address
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Address Line | 2990 KLEIN STREET
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City | ALLENTOWN
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State | PA
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Zip | 18103
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Country | US
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Telephone | 610-709-8966
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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