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General NPI Number Information
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NPI Number | 1043509722
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Entity Type | Individual
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Provider Name | DULCE M RUATTI LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 212 I ST
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City | DAVIS
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State | CA
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Zip | 95616-4213
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Country | US
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Telephone | 530-601-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 500 JEFFERSON BLVD STE B
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-2350
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Country | US
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Telephone | 530-601-5959
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 71095
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License Number State | CA
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