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General NPI Number Information
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NPI Number | 1023495116
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Entity Type | Individual
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Provider Name | KELLY ELIZABETH RUFF LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 22 CLINIC DR
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City | PARIS
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State | KY
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Zip | 40361-2161
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Country | US
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Telephone | 859-987-5013
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Fax | 859-987-5006
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Provider Business Mailing Address
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Address Line | 201 MECHANIC ST
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City | LEXINGTON
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State | KY
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Zip | 40507-1086
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Country | US
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Telephone | 859-272-7483
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Fax | 859-389-8107
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1797
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 172181
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License Number State | KY
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