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General NPI Number Information
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NPI Number | 1144342726
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Entity Type | Individual
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Provider Name | RUTH E. LOOMIS NP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 2582 SOUTH RD
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City | MARLBORO
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State | VT
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Zip | 05344-9801
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Country | US
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Telephone | 802-257-4333
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Fax | 802-251-7604
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Provider Business Mailing Address
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Address Line | 40 SHIPPEE RD
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City | ROWE
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State | MA
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Zip | 01367-9715
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Country | US
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Telephone | 413-339-4302
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP101-0024580
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 184097
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License Number State | MA
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