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General NPI Number Information
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NPI Number | 1740789288
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Entity Type | Individual
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Provider Name | MARION RUTH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2018
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 508 UPLAND ST
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City | KENAI
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State | AK
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Zip | 99611-8026
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Country | US
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Telephone | 907-335-7520
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Fax | 888-491-3360
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Provider Business Mailing Address
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Address Line | 4415 CAMPUS ST # 2
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City | ANCHORAGE
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State | AK
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Zip | 99507-1548
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Country | US
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Telephone | 520-437-2503
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95006781
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License Number State | CA
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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 | 145218
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License Number State | AK
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