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General NPI Number Information
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NPI Number | 1215250345
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Entity Type | Organization
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Legal Business Name | JOHN A. RUTH, JR., M.D., P.A.
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 125 AIRPORT DR SUITE 34
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City | WESTMINSTER
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State | MD
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Zip | 21157-3024
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Country | US
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Telephone | 410-840-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 N CALVERT ST SUITE 530
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City | BALTIMORE
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State | MD
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Zip | 21218-2867
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Country | US
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Telephone | 410-366-5775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A RUTH JR.
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Credential | M.D., P.A.
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Telephone | 410-366-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D38499
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License Number State | MD
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