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General NPI Number Information
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NPI Number | 1184265142
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Entity Type | Individual
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Provider Name | RUSLAN BATKO
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Gender | Male
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 900 E MAIN ST
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5853
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Country | US
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Telephone | 530-273-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 576 DIAMOND POINTE WAY
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City | YUBA CITY
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State | CA
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Zip | 95991-9444
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Country | US
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Telephone | 153-030-0410
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 124007
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License Number State |
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