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General NPI Number Information
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NPI Number | 1184131286
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Entity Type | Organization
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Legal Business Name | RUIZ COUNSELING LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 2748 SOUTH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3252
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Country | US
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Telephone | 402-580-0124
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Fax | 855-481-0775
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Provider Business Mailing Address
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Address Line | 2748 SOUTH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3252
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Country | US
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Telephone | 402-580-0124
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Fax | 855-481-0775
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA RUIZ
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Credential | LIMHP
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Telephone | 402-580-0124
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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 | 3698
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License Number State | NE
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