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General NPI Number Information
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NPI Number | 1366333528
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Entity Type | Individual
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Provider Name | LORANA RUSH LPC-A, MS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 360 HIGHWAY TX-22 UNIT A
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City | CLIFTON
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State | TX
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Zip | 76634-3218
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Country | US
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Telephone | 254-300-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 511 COUNTY ROAD 1812
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City | CLIFTON
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State | TX
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Zip | 76634-3218
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Country | US
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Telephone | 214-477-5691
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 99040
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License Number State | TX
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