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General NPI Number Information
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NPI Number | 1942431937
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Entity Type | Individual
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Provider Name | LINDA L. RUTLEDGE LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 501 WEST YOUNG AVE.
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City | ELMA
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State | WA
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Zip | 98541-0588
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Country | US
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Telephone | 360-249-2399
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Fax | 360-262-0840
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Provider Business Mailing Address
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Address Line | PO BOX 3030
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City | ELMA
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State | WA
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Zip | 98541-0588
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Country | US
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Telephone | 360-249-2399
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Fax | 360-262-0840
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00004274
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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 | LH00004274
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH00004274
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | LH00004274
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LH00004274
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | LH00004274
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LH00004272
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | LH00004274
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | LH00004272
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License Number State | WA
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Taxonomy #10
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU00000460
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License Number State | WA
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