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General NPI Number Information
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NPI Number | 1528206323
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Entity Type | Individual
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Provider Name | RUTH EVELYN NOONAN MA, LPC, MT-BC,FAMI
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 545 EAST 5TH STREET
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City | LOVELAND
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State | CO
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Zip | 80537
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Country | US
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Telephone | 970-988-8435
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Fax | 970-532-5987
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Provider Business Mailing Address
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Address Line | 2541 1ST ST
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City | BERTHOUD
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State | CO
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Zip | 80513-2813
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Country | US
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Telephone | 970-988-8435
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Fax | 970-532-5987
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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 | 5069
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License Number State | CO
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