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General NPI Number Information
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NPI Number | 1013055789
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Entity Type | Individual
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Provider Name | RUTH AMANADA NIEMI DC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5612 NORTH BLACKSTONE AVENUE
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City | FRESNO
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State | CA
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Zip | 93710
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Country | US
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Telephone | 559-917-7736
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Fax | 559-435-2436
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Provider Business Mailing Address
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Address Line | 6035 N COLLEGE STE A
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City | FRESNO
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State | CA
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Zip | 93704
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Country | US
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Telephone | 559-917-7736
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Fax | 559-435-2436
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC25164
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License Number State | CA
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