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General NPI Number Information
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NPI Number | 1013132752
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Entity Type | Organization
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Legal Business Name | RUWACH COUNSELING & CONSULTING SERVICES, LLP
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 95 CENTERMARSH LN
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-6104
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Country | US
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Telephone | 843-344-0172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4027
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-4027
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Country | US
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Telephone | 843-344-0172
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. ACTON B BEARD
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Credential | LPC, LPCS, EDS.
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Telephone | 843-340-3219
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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 | 1764
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License Number State | SC
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