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General NPI Number Information
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NPI Number | 1710846837
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Entity Type | Individual
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Provider Name | ASHLEIGH RUCKER CMT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 3661 GRAND AVE STE 101
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City | OAKLAND
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State | CA
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Zip | 94610-2012
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Country | US
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Telephone | 925-212-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 385 GABIANO CT
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City | VACAVILLE
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State | CA
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Zip | 95687-7614
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Country | US
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Telephone | 925-212-1799
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 84074
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License Number State | CA
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