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General NPI Number Information
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NPI Number | 1528258035
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Entity Type | Individual
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Provider Name | JULIE RUTH INGBER LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 2344 3RD ST S
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-4023
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Country | US
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Telephone | 904-686-5018
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Fax | 904-246-5152
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Provider Business Mailing Address
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Address Line | 13065 QUINCY BAY DR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-7410
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Country | US
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Telephone | 904-686-5018
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Fax | 904-465-5152
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7855
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License Number State | FL
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