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General NPI Number Information
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NPI Number | 1326075417
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Entity Type | Individual
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Provider Name | RUTH ANN KENNEY M.A., MFT
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 2750 GATEWAY OAKS DR SUITE 350
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City | SACRAMENTO
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State | CA
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Zip | 95833-3661
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Country | US
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Telephone | 916-614-2888
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Fax | 916-503-6917
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Provider Business Mailing Address
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Address Line | 2794 BRADSHAW RD
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City | SACRAMENTO
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State | CA
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Zip | 95827-1338
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Country | US
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Telephone | 916-364-0718
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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 | MFC34461
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License Number State | CA
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