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General NPI Number Information
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NPI Number | 1710873435
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Entity Type | Individual
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Provider Name | KRISTIN SARAH RUTLAND M.S. LPC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1824 JEFFERSON DAVIS HWY
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City | GRANITEVILLE
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State | SC
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Zip | 29829-4032
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Country | US
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Telephone | 800-552-4357
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Fax | 678-388-9244
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Provider Business Mailing Address
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Address Line | 567 WRIGHTS MILL RD
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City | AIKEN
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State | SC
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Zip | 29801-9176
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Country | US
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Telephone | 803-522-5659
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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 | 11069
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License Number State | SC
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