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General NPI Number Information
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NPI Number | 1528752151
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Entity Type | Organization
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Legal Business Name | RUF PSYCHOLOGY SERVICES
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 655 KENMOOR AVE SE STE 303
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8622
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Country | US
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Telephone | 616-320-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 625 KENMOOR AVE SE STE 301
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2395
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Country | US
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Telephone | 616-320-4464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BROOKE M RUF
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Credential | PHD
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Telephone | 616-320-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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