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General NPI Number Information
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NPI Number | 1740028026
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Entity Type | Individual
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Provider Name | RUTHANTIA DUCKWORTH LPN
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Gender | Female
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Dates
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Enumeration Date | 07/19/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 24744 ROOSEVELT CT APT 344
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-1868
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Country | US
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Telephone | 216-548-1459
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Fax |
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Provider Business Mailing Address
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Address Line | 24744 ROOSEVELT CT APT 344
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-1868
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Country | US
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Telephone | 216-548-1459
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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