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General NPI Number Information
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NPI Number | 1992545883
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Entity Type | Individual
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Provider Name | EMILIE JO RUBY
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Gender | Female
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 16396 STATE ROUTE 140
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City | SOUTH WEBSTER
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State | OH
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Zip | 45682-9088
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Country | US
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Telephone | 740-357-5149
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Fax | 614-466-5741
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Provider Business Mailing Address
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Address Line | 30 E BROAD ST FL 22
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City | COLUMBUS
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State | OH
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Zip | 43215-3414
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Country | US
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Telephone | 740-357-5149
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Fax | 614-466-5741
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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