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General NPI Number Information
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NPI Number | 1124225602
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Entity Type | Organization
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Legal Business Name | RUTH BARNETT,DO,PC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15121 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48235-3716
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Country | US
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Telephone | 313-270-4450
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Fax | 313-270-4470
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Provider Business Mailing Address
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Address Line | 15121 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48235-3716
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Country | US
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Telephone | 313-270-4450
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Fax | 313-270-4470
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RUTH BARNETT
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Credential | DO
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Telephone | 313-270-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101009310
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License Number State | MI
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