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General NPI Number Information
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NPI Number | 1366047839
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Entity Type | Individual
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Provider Name | MARGARET ELLEN RUTHERFORD RPH
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Gender | Female
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 5179 RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-736-3496
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Fax |
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Provider Business Mailing Address
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Address Line | 5179 RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-736-3496
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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 | 0202218206
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019782
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03219717
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0006535
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License Number State | WV
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