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General NPI Number Information
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NPI Number | 1922278779
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Entity Type | Individual
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Provider Name | MARK E RUCH LPC
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Gender | Male
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | FAITH ACADEMY, PENNY LANE, VALLEY GOLF SUBD. DON CELSO TUAZON AVENUE
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City | CAINTA
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State | RIZAL
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Zip | 1900
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Country | PH
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Telephone | 6580048
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Fax | 6580026
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Provider Business Mailing Address
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Address Line | SIL - P.O. BOX 2270
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City | MANILA
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State | PHILIPPINES
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Zip | 1099
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Country | PH
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Telephone |
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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 | 4948
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License Number State | NC
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