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General NPI Number Information
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NPI Number | 1487705455
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Entity Type | Individual
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Provider Name | RUTH CHAFFEE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 2702 1/2 N PROCTOR ST SUITE E
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City | TACOMA
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State | WA
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Zip | 98407-5243
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Country | US
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Telephone | 253-756-8862
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Fax | 253-756-8886
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Provider Business Mailing Address
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Address Line | P.O. BOX 7189
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City | TACOMA
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State | WA
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Zip | 98417-0189
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Country | US
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Telephone | 253-756-8862
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Fax | 253-756-8886
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1258
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License Number State | WA
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