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General NPI Number Information
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NPI Number | 1578781068
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Entity Type | Organization
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Legal Business Name | LADONNA P RUTLEDGE MD, PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 1701 GOLDEN AVE
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City | BAY CITY
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State | TX
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Zip | 77414-3121
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Country | US
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Telephone | 979-323-0997
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 GOLDEN AVE
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City | BAY CITY
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State | TX
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Zip | 77414-3121
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Country | US
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Telephone | 979-323-0997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LADONNA P RUTLEDGE
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Credential | MD
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Telephone | 979-323-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | M4692
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License Number State | TX
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