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General NPI Number Information
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NPI Number | 1124743117
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Entity Type | Individual
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Provider Name | ANDREW DEAN VAN RULER MS, CRC, LADC, LPCC
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Gender | Male
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 604 5TH ST SW
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City | ROCHESTER
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State | MN
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Zip | 55902-3256
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Country | US
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Telephone | 507-282-2500
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Fax | 507-282-6036
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Provider Business Mailing Address
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Address Line | 2217 NICOLLET AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-3302
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Country | US
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Telephone | 612-767-0300
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4685
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 306105
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License Number State | MN
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