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General NPI Number Information
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NPI Number | 1437895497
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Entity Type | Individual
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Provider Name | RUBY RUSH LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 15 OLD ROLLINSFORD RD STE 302
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City | DOVER
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State | NH
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Zip | 03820-2819
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Country | US
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Telephone | 603-742-9200
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Fax | 603-742-4605
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Provider Business Mailing Address
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Address Line | 15 OLD ROLLINSFORD RD STE 302
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City | DOVER
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State | NH
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Zip | 03820-2819
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Country | US
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Telephone | 603-742-9200
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Fax | 603-742-4605
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2586
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License Number State | NH
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