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General NPI Number Information
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NPI Number | 1033894795
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Entity Type | Organization
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Legal Business Name | RB SPECIALITY GROUP LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 124 PROFESSIONAL AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-1116
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Country | US
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Telephone | 859-321-9972
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Fax | 859-520-3534
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Provider Business Mailing Address
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Address Line | 125 FOXGLOVE DR STE A
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City | MT STERLING
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State | KY
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Zip | 40353-9735
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Country | US
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Telephone | 859-321-9972
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Fax | 859-520-3534
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DAVID RUTH
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Credential | RPH
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Telephone | 859-321-9972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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