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General NPI Number Information
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NPI Number | 1356890578
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Entity Type | Organization
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Legal Business Name | RUEGER & ASSOCIATES, LTD.
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 1497 N LA FOX ST
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-1227
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Country | US
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Telephone | 847-710-6244
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Fax | 847-697-4717
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Provider Business Mailing Address
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Address Line | 1497 N LA FOX ST
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-1227
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Country | US
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Telephone | 847-710-6244
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Fax | 847-697-4717
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. SANDRA YU RUEGER
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Credential | PH.D.
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Telephone | 847-710-6244
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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 |
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License Number State |
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