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General NPI Number Information
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NPI Number | 1689140196
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Entity Type | Individual
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Provider Name | RATAUCHA A HEARD CAADC, LLPC, CFTC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 31915 NEWCASTLE ST
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City | ROMULUS
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State | MI
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Zip | 48174-4304
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Country | US
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Telephone | 702-245-7372
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Fax | 734-480-8686
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Provider Business Mailing Address
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Address Line | 31915 NEWCASTLE ST
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City | ROMULUS
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State | MI
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Zip | 48174-4304
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Country | US
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Telephone | 702-245-7372
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Fax | 734-480-8686
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451022645
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License Number State | MI
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