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General NPI Number Information
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NPI Number | 1982327136
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Entity Type | Individual
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Provider Name | RUTH MOULTON ADLER MED
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 1115 BROADWAY FL 10
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City | NEW YORK
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State | NY
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Zip | 10010-3454
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Country | US
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Telephone | 646-397-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 268 15TH ST APT 1L
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City | BROOKLYN
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State | NY
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Zip | 11215-4989
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Country | US
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Telephone | 917-972-5021
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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 |
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License Number State |
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