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General NPI Number Information
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NPI Number | 1053205625
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Entity Type | Individual
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Provider Name | RUTH ANN BERRY RPH
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1020 SIXTH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2302
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Country | US
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Telephone | 231-946-4570
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Fax | 231-946-2920
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | FIFE LAKE
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State | MI
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Zip | 49633-0114
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Country | US
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Telephone | 231-499-0432
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302026198
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License Number State | MI
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