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General NPI Number Information
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NPI Number | 1922201920
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Entity Type | Organization
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Legal Business Name | RUTH V HUSSEY DO LLC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 73 CAVALIER BLVD STE 118
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City | FLORENCE
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State | KY
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Zip | 41042-5179
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Country | US
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Telephone | 859-331-1233
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Fax | 859-376-1026
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Provider Business Mailing Address
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Address Line | 73 CAVALIER BLVD STE 118
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City | FLORENCE
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State | KY
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Zip | 41042-5179
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Country | US
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Telephone | 859-331-1233
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Fax | 859-376-1026
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Authorized Official
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Title or Position | CEO
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Name | RUTH VIRGINIA HUSSEY
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Credential | DO
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Telephone | 859-331-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K02381
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License Number State | KY
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