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General NPI Number Information
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NPI Number | 1952822991
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Entity Type | Individual
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Provider Name | VIRGINIA RUTLEDGE MOSBY LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3180 CROW CANYON PLACE #140
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City | SAN RAMON
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State | CA
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Zip | 94583
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Country | US
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Telephone | 925-820-1467
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Fax | 925-855-1366
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Provider Business Mailing Address
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Address Line | 3180 CROW CANYON PL STE 140
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City | SAN RAMON
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State | CA
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Zip | 94583-1339
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Country | US
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Telephone | 925-820-1467
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Fax | 925-855-1366
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 43184
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License Number State | CA
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