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General NPI Number Information
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NPI Number | 1154057230
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Entity Type | Individual
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Provider Name | VICKI SUE RUIZ LPC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 4030 MOUNT CARMEL TOBASCO RD STE 214
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City | CINCINNATI
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State | OH
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Zip | 45255-3431
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Country | US
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Telephone | 513-318-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 3846 FOX TRL APT 5
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City | AMELIA
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State | OH
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Zip | 45102-9312
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Country | US
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Telephone | 513-518-4777
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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 | C1000413
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License Number State | OH
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