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General NPI Number Information
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NPI Number | 1124660675
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Entity Type | Individual
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Provider Name | JOANNA RUTH RUSCH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 10102 E KNOX AVE STE 400
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-4146
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Country | US
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Telephone | 425-251-6335
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Fax |
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Provider Business Mailing Address
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Address Line | 5312 N GREENWOOD BLVD
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City | SPOKANE
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State | WA
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Zip | 99205-6042
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Country | US
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Telephone | 734-883-2256
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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 | PH60868678
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License Number State | WA
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