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General NPI Number Information
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NPI Number | 1255170270
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Entity Type | Individual
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Provider Name | RUBY ANDAYA MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 101 E REDLANDS BLVD STE 170F
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City | REDLANDS
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State | CA
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Zip | 92373-4700
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Country | US
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Telephone | 909-279-1967
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 KAISER AVE
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City | FONTANA
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State | CA
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Zip | 92336-3261
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Country | US
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Telephone | 951-790-8908
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 135639
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License Number State | CA
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