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General NPI Number Information
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NPI Number | 1275492365
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Entity Type | Organization
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Legal Business Name | RUCKER THERAPY ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 600 SUNCREST TOWN CENTRE DR STE 115
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City | MORGANTOWN
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State | WV
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Zip | 26505-1873
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Country | US
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Telephone | 304-282-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 600 SUNCREST TOWN CENTRE DR STE 115
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City | MORGANTOWN
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State | WV
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Zip | 26505-1873
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MR. MICHAEL HUGH RUCKER II
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Credential | LMFT
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Telephone | 304-282-1975
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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 |
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License Number State |
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