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Individual
DR. SCOTT JOHN RUTH
Active
Individual
DR. SCOTT JOHN RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-0003555-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109748000
BCBS PROV. ID
PA
01
—
0310182000
BCBS GROUP #
PA
01
—
232488352
TAX ID
PA
Enumeration date
01/08/2007
Last updated
07/08/2007
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