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General NPI Number Information
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NPI Number | 1861616609
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Entity Type | Individual
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Provider Name | RUTH ANN WILLIAMS PTA
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 3650 VAN BUREN ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-1036
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Country | US
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Telephone | 616-669-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 3526 WINDING STREAM DR NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49544-9224
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Country | US
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Telephone | 616-617-1112
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 7563A
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06003223A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8399
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502002579
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License Number State | MI
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