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General NPI Number Information
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NPI Number | 1255187191
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Entity Type | Individual
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Provider Name | ARICA AMIE RUSCO
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 740 SOUTH LIMESTONE B301, 3RD FLOOR WING C LEXINGTON
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-475-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 270 LANCER DR APT 266
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2155
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Country | US
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Telephone | 231-740-0698
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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