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NPI Code Detail

MEDICARE: TANGERINE RHINEHART MS, LADC

MEDICARE:   TANGERINE  RHINEHART  MS, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1589CT

General Provider Information

NPI Number : 1902614746
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANGERINE RHINEHART MS, LADC
Provider Business Mailing Address
First Line : 100 GRAND ST STE 2G
Second Line :
City : WATERBURY
State : CT
Zip : 06702-1908
Country : US
Telephone Number : 203-901-1548
Fax Number :
Provider Business Practice Location Address
First Line : 100 GRAND ST STE G
Second Line :
City : WATERBURY
State : CT
Zip : 06702-1908
Country : US
Telephone Number : 203-901-1548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2024
Last Update Date : 12/26/2024

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Directions to “ TANGERINE RHINEHART MS, LADC” Practice Location

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