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General NPI Number Information
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NPI Number | 1790382976
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Entity Type | Individual
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Provider Name | ADELY RUIZ
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Gender | Female
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 8012 BABINE DR
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City | PASCO
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State | WA
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Zip | 99301-1328
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Country | US
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Telephone | 509-282-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 4TH AVE STE 600
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City | SEATTLE
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State | WA
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Zip | 98101-2539
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Country | US
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Telephone | 800-945-9722
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Fax | 206-901-2010
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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 | SC61378513
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LW61460967
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License Number State | WA
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