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General NPI Number Information
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NPI Number | 1093281354
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Entity Type | Individual
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Provider Name | AMY RUST CADC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 808 MIDDLEFORD RD STE 5
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City | SEAFORD
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State | DE
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Zip | 19973-3650
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Country | US
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Telephone | 302-770-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 33520 TIDAL WAY, UNIT 301LEWES, DE 19958 UNIT 301
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City | MILLSBORO
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State | DE
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Zip | 19966-3388
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Country | US
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Telephone | 302-470-5018
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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