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General NPI Number Information
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NPI Number | 1528028529
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Entity Type | Individual
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Provider Name | RUTH J. COHEN M.A., L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 16804 W PALISADE TRAIL LN # 12
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City | SURPRISE
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State | AZ
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Zip | 85387-7229
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Country | US
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Telephone | 623-337-3388
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Fax | 623-298-2068
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Provider Business Mailing Address
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Address Line | 19920 N CANYON WHISPER DR
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City | SURPRISE
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State | AZ
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Zip | 85387-7269
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Country | US
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Telephone | 623-337-3388
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Fax | 623-322-1938
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-32424
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 358988
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10219
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License Number State | AZ
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