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General NPI Number Information
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NPI Number | 1518672864
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Entity Type | Organization
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Legal Business Name | RUAIR THERAPUTICS LLC,
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 9020F LORTON STATION BLVD STE 103
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City | LORTON
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State | VA
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Zip | 22079-4799
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Country | US
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Telephone | 703-375-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 12313 OAK CREEK LN APT 1515
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City | FAIRFAX
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State | VA
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Zip | 22033-4240
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Country | US
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Telephone | 703-375-9111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARRIEL WALKER
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Credential | LPC
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Telephone | 703-375-1111
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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 |
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License Number State |
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