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General NPI Number Information
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NPI Number | 1699982041
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Entity Type | Individual
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Provider Name | JAMES RUDES PH.D
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 290 174TH ST APT 2101
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3200
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Country | US
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Telephone | 305-932-1229
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Fax | 305-899-3718
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Provider Business Mailing Address
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Address Line | 290 174TH ST APT 2101
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3200
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Country | US
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Telephone | 305-932-1229
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Fax | 305-899-3718
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW2545
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License Number State | FL
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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 | MT1429
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License Number State | FL
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