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General NPI Number Information
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NPI Number | 1376599399
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Entity Type | Organization
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Legal Business Name | RUTH W GUYER M.D., PA
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 217 STATION ST EFFECTIVE 1 JULY 2010, CHANGE TO 1 MATTHEW COURT
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6304
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Country | US
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Telephone | 910-353-4991
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Fax | 910-353-6410
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Provider Business Mailing Address
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Address Line | PO BOX 12457
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City | JACKSONVILLE
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State | NC
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Zip | 28546-2457
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Country | US
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Telephone | 910-353-4991
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Fax | 910-353-6410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUTH GUYER
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Credential | MD
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Telephone | 910-353-4991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 31024
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License Number State | NC
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