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General NPI Number Information
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NPI Number | 1588948731
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Entity Type | Individual
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Provider Name | KATHERINE ANNE RUFLE M.S.W., L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 2413 S LAKERIDGE CT
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City | LAKE SAINT LOUIS
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State | MO
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Zip | 63367-2523
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Country | US
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Telephone | 314-402-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 S LAKERIDGE CT
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City | LAKE SAINT LOUIS
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State | MO
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Zip | 63367-2523
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Country | US
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Telephone | 314-402-7576
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2009018950
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2009018950
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2009018950
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License Number State | MO
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