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General NPI Number Information
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NPI Number | 1467336586
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Entity Type | Individual
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Provider Name | NICOLE MARIE RUCINSKI APCC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3107 FILLMORE ST STE 301
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-3497
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Country | US
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Telephone | 415-488-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 440 48TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2133
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Country | US
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Telephone | 715-905-0761
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17412
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License Number State | CA
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