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NPI Code Detail

MEDICARE: GIDGET L RUPERT CT

MEDICARE:   GIDGET L RUPERT  CT
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
1101YP2500XProfessional Counselor
2101Y00000XCounselorC.1100432-TRNEOH

General Provider Information

NPI Number : 1568701191
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIDGET L RUPERT CT
Provider Business Mailing Address
First Line : 2458 STETZER ROAD
Second Line :
City : BUCYRUS
State : OH
Zip : 44820
Country : US
Telephone Number : 419-562-2000
Fax Number : 419-562-1296
Provider Business Practice Location Address
First Line : 1890 NORTHWEST BLVD STE 140
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-1637
Country : US
Telephone Number : 617-741-5862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2013
Last Update Date : 07/10/2025

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Directions to “ GIDGET L RUPERT CT” Practice Location

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