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General NPI Number Information
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NPI Number | 1245380666
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Entity Type | Individual
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Provider Name | ADA RUTH NELSON LAC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 18434 N 99TH AVE STE 8
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City | SUN CITY
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State | AZ
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Zip | 85373-1672
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Country | US
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Telephone | 623-248-4104
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Fax | 623-248-4943
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Provider Business Mailing Address
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Address Line | 4440 GENERAL MEYER AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70131-3529
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Country | US
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Telephone | 504-361-6500
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Fax | 504-361-6489
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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 | 423
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9400
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LISAC-155255
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License Number State | AZ
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