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General NPI Number Information
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NPI Number | 1275772444
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Entity Type | Individual
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Provider Name | RUBY J WESTBROOK
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Gender | Female
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 397 PARK AVE APT 110C
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City | CHARDON
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State | OH
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Zip | 44024-1362
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Country | US
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Telephone | 440-285-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 397 PARK AVE APT 110C
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City | CHARDON
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State | OH
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Zip | 44024-1362
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Country | US
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Telephone | 440-285-4838
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Fax | 144-028-5483
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | CSW6082
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License Number State | OH
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