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General NPI Number Information
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NPI Number | 1255462677
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Entity Type | Individual
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Provider Name | SARAH COOK RUGGERA MA
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9265 DOWDY DRIVE SUITE 225
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City | SAN DIEGO
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State | CA
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Zip | 92126
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Country | US
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Telephone | 858-735-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 10660 LAKECREST PT
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City | SAN DIEGO
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State | CA
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Zip | 92131
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Country | US
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Telephone | 858-735-1139
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Fax | 858-566-0689
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MFC31998
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License Number State | CA
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