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General NPI Number Information
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NPI Number | 1710422639
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Entity Type | Organization
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Legal Business Name | RUTTI COUNSELING & CONSULTATION, LLC
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Dates
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Enumeration Date | 01/02/2017
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Last Update Date | 01/02/2017
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Provider Practice Location Address
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Address Line | 1200 W 5TH AVE SUITE 102D
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City | COLUMBUS
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State | OH
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Zip | 43212-2503
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Country | US
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Telephone | 614-398-1927
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Fax | 614-824-4271
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Provider Business Mailing Address
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Address Line | 1200 W 5TH AVE SUITE 102D
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City | COLUMBUS
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State | OH
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Zip | 43212-2503
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Country | US
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Telephone | 614-398-1927
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Fax | 614-824-4271
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | SUZANNE RUTTI
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Credential | MSW, LISW-S
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Telephone | 614-398-1927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I.0800234-SUPV
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License Number State | OH
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