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General NPI Number Information
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NPI Number | 1609886944
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Entity Type | Individual
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Provider Name | RUTH E GAUTHIER PT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 345 VALLEY RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5236
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Country | US
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Telephone | 401-849-5596
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Fax | 401-847-9136
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | PROVIDENCE
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State | RI
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Zip | 02901-1119
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Country | US
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Telephone | 401-849-5596
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 00655
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License Number State | RI
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