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General NPI Number Information
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NPI Number | 1679635379
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Entity Type | Individual
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Provider Name | RICHARD IRVING RUFF LPC 14434
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Gender | Male
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 17505 N 79TH AVE STE 213
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City | GLENDALE
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State | AZ
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Zip | 85308-8728
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Country | US
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Telephone | 602-618-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 14769 W COLUMBINE DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5940
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Country | US
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Telephone | 602-618-5222
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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