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General NPI Number Information
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NPI Number | 1790133197
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Entity Type | Individual
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Provider Name | ERICA FLEMING RUTLEDGE M.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 1664 E MAIN ST STE 204
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City | EASLEY
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State | SC
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Zip | 29640-3790
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Country | US
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Telephone | 864-514-8849
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Fax | 864-448-1807
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Provider Business Mailing Address
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Address Line | 1664 E MAIN ST STE 204
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City | EASLEY
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State | SC
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Zip | 29640-3790
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Country | US
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Telephone | 864-514-8849
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Fax | 864-448-1807
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7008
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License Number State | SC
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