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General NPI Number Information
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NPI Number | 1558429902
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Entity Type | Organization
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Legal Business Name | THE HEALING TREE INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1081 CAMINO DEL RIO SOUTH SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92108-3544
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Country | US
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Telephone | 619-546-5309
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 CAMINO DEL RIO SOUTH SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92108-3544
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Country | US
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Telephone | 619-546-5309
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DIANNE RUTH
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Credential | PHD
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Telephone | 619-546-5309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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