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General NPI Number Information
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NPI Number | 1609389063
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Entity Type | Organization
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Legal Business Name | RUTH'S SPECIAL INSTRUCTION SERVICES, INC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 346 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11203-2708
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Country | US
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Telephone | 347-563-5456
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Fax |
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Provider Business Mailing Address
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Address Line | 346 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11203-2708
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Country | US
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Telephone | 347-563-5456
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Fax |
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Authorized Official
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Title or Position | PUBLIC SCHOOL SPECIAL EDUCATION
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Name | MISS RUTH MAXIMA BERNARD
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Credential | MSED
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Telephone | 347-563-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 130486030
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License Number State | NY
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