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General NPI Number Information
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NPI Number | 1023482924
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Entity Type | Individual
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Provider Name | MS. RUTH WEBER MCLAUCHLIN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 2008 48TH ST W
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City | BRADENTON
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State | FL
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Zip | 34209-5110
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Country | US
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Telephone | 941-405-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 48TH ST W
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City | BRADENTON
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State | FL
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Zip | 34209-5110
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Country | US
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Telephone | 941-405-7006
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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