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General NPI Number Information
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NPI Number | 1245409598
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Entity Type | Organization
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Legal Business Name | RUTH HASKINS, MD, INC.
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1611 CREEKSIDE DR SUITE 103
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City | FOLSOM
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State | CA
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Zip | 95630-3490
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Country | US
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Telephone | 916-817-2649
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Fax |
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Provider Business Mailing Address
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Address Line | 3444 SMOKEY MOUNTAIN CIR
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-7326
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Country | US
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Telephone | 916-941-0779
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. RUTH ELLEN HASKINS
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Credential | MD
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Telephone | 916-817-2649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G064514
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License Number State | CA
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