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General NPI Number Information
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NPI Number | 1003738022
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Entity Type | Individual
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Provider Name | KEATON JAMES RUGGLES APRN-CNP
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Gender | Male
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 272 BENEDICT AVE
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City | NORWALK
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State | OH
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Zip | 44857-2374
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Country | US
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Telephone | 419-668-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 5874 FOX GLOVE DR
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City | NEW LONDON
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State | OH
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Zip | 44851-9434
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Country | US
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Telephone | 419-681-6438
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN.CNP.0042939
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License Number State | OH
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