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General NPI Number Information
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NPI Number | 1639577455
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Entity Type | Organization
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Legal Business Name | RUTLEDGE PSYCHIATRY, PROFESSIONAL LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 8340 SANGRE DE CRISTO RD STE 209
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City | LITTLETON
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State | CO
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Zip | 80127-4243
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Country | US
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Telephone | 720-589-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 8340 SANGRE DE CRISTO RD STE 209
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City | LITTLETON
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State | CO
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Zip | 80127-4243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MANAGER
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Name | LINDSEY RUTLEDGE
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Credential | M.D.
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Telephone | 720-589-0528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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