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General NPI Number Information
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NPI Number | 1548258056
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Entity Type | Individual
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Provider Name | RUTH ROSS EDMONDS DDS, MDS
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 1704 CHARLOTTE AVE STE 100
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-321-3663
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Fax | 615-321-3664
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Provider Business Mailing Address
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Address Line | 1704 CHARLOTTE AVE STE 100
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-321-3663
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Fax | 615-321-3664
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS0000007624
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License Number State | TN
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