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NPI 1033923677

NPI 1033923677 : RUTH ANN ANDERSON M.S., CCC-SLP : FREMONT, NE

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General NPI Number Information
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    NPI Number           |    1033923677
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    Entity Type          |    Individual 
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    Provider Name        |    RUTH ANN ANDERSON M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2025
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    Last Update Date     |    02/04/2025
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Provider Practice Location Address
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    Address Line         |    450 E 23RD ST 
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    City                 |    FREMONT
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    State                |    NE
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    Zip                  |    68025-9802
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    Country              |    US
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    Telephone            |    402-941-1699
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    Fax                  |    402-941-1688
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Provider Business Mailing Address
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    Address Line         |    PO BOX 67 
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    City                 |    FORT CALHOUN
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    State                |    NE
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    Zip                  |    68023-0067
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    Country              |    US
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    Telephone            |    402-533-8668
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    483
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    License Number State |    NE
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