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General NPI Number Information
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NPI Number | 1699966697
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Entity Type | Individual
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Provider Name | ELIZABETH RUGGIERO PHD, LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | PO BOX 395
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City | SALIDA
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State | CO
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Zip | 81201-0395
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Country | US
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Telephone | 501-400-6570
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 395
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City | SALIDA
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State | CO
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Zip | 81201-0395
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Country | US
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Telephone | 501-400-6570
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P0807061
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | A04122007
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License Number State | AR
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