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General NPI Number Information
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NPI Number | 1811997463
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Entity Type | Individual
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Provider Name | RUTH MARIE LICHT DO
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 3400 N. CENTER RD SUITE 100
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City | SAGINAW
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State | MI
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Zip | 48603
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Country | US
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Telephone | 989-624-1500
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Fax | 989-624-1506
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Provider Business Mailing Address
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Address Line | 4117 RED MAPLE LN
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City | SAGINAW
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State | MI
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Zip | 48603-8636
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Country | US
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Telephone | 989-245-2316
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Fax | 989-624-1506
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101010453
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 010453
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License Number State | MI
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