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General NPI Number Information
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NPI Number | 1932331659
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Entity Type | Individual
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Provider Name | ANGELA RUTH RECORD LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 3413 N 83RD ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5801
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Country | US
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Telephone | 207-713-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 3413 N 83RD ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5801
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Country | US
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Telephone | 77-137-3502
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20540
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC7675
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-21822
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License Number State | AZ
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