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General NPI Number Information
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NPI Number | 1558790006
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Entity Type | Individual
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Provider Name | RUTH MYERS CNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 2751 BAY PARK DR STE 209
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City | OREGON
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State | OH
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Zip | 43616-4922
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Country | US
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Telephone | 419-690-7611
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Fax | 419-690-7613
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Provider Business Mailing Address
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Address Line | 1 SEAGATE # 800
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City | TOLEDO
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State | OH
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Zip | 43604-1558
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Country | US
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Telephone | 419-690-7611
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Fax | 419-690-7613
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0001248067
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17317-NP
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License Number State | OH
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