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General NPI Number Information
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NPI Number | 1437221132
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Entity Type | Organization
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Legal Business Name | VIRGINIA DARE RUFIN INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 807 RUE DECATUR
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City | METAIRIE
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State | LA
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Zip | 70005-3463
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Country | US
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Telephone | 504-835-9654
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Fax | 504-833-2027
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Provider Business Mailing Address
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Address Line | 807 RUE DECATUR
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City | METAIRIE
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State | LA
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Zip | 70005-3463
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Country | US
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Telephone | 504-835-9654
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Fax | 504-833-2027
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. VIRGINIA DARE RUFIN
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Credential | CCCSLP
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Telephone | 504-835-9654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 239
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License Number State | LA
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