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NPI 1982251674

NPI 1982251674 : RUTH CELESTE BARKER-DAVIS RN : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1982251674
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    Entity Type          |    Individual 
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    Provider Name        |    RUTH CELESTE BARKER-DAVIS RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2019
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    Last Update Date     |    01/11/2022
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Provider Practice Location Address
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    Address Line         |    751 VANDENBURG RD 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-1565
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    Country              |    US
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    Telephone            |    215-605-8238
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    751 VANDENBURG RD 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-1565
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    Country              |    US
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    Telephone            |    215-605-8238
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    NULL
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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 |    NULL
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Taxonomy #3
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN613270
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    License Number State |    PA
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Taxonomy #5
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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 |    NULL
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