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General NPI Number Information
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NPI Number | 1013177971
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Entity Type | Organization
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Legal Business Name | RUTH A YATES, MD
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 520 MADISON ST SE STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4253
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Country | US
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Telephone | 256-536-4401
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Fax | 256-536-3153
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Provider Business Mailing Address
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Address Line | 520 MADISON ST SE STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4253
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Country | US
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Telephone | 256-536-4401
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Fax | 256-536-3153
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RUTH A YATES
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Credential | MD
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Telephone | 256-536-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 13786
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License Number State | AL
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