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General NPI Number Information
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NPI Number | 1467482505
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Entity Type | Individual
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Provider Name | RUTHANNE QUEENAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 185 HARRY S TRUMAN PKWY STE 120
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7580
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Country | US
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Telephone | 410-224-4442
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Fax | 410-224-8898
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY STE 409
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3746
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Country | US
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Telephone | 667-204-7212
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Fax | 443-481-4151
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 172905
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License Number State | NY
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