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General NPI Number Information
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NPI Number | 1972795144
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Entity Type | Organization
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Legal Business Name | MONIKA RUKUS, INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 8901 CONNECTICUT AVE
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6734
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Country | US
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Telephone | 301-986-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 CONNECTICUT AVE
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6734
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Country | US
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Telephone | 301-986-9999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONIKA RUKUS
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Credential | NP, LCSW-C, LAC
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Telephone | 301-986-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U00281
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R060195
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License Number State | MD
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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 | 08641
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License Number State | MD
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