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General NPI Number Information
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NPI Number | 1962511683
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Entity Type | Individual
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Provider Name | MARCELLA M RUMMEL LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2217 PRINCESS ANNE ST SUITE 301-1
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3353
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Country | US
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Telephone | 540-903-1888
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Fax | 540-286-1286
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Provider Business Mailing Address
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Address Line | 28 RUFFIAN DR
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City | STAFFORD
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State | VA
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Zip | 22556-6661
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Country | US
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Telephone | 540-903-1888
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Fax | 540-286-1286
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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 | 0717001006
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License Number State | VA
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