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General NPI Number Information
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NPI Number | 1013691245
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Entity Type | Individual
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Provider Name | AMBER V RUFFIN
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 3836 WISH AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3694
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Country | US
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Telephone | 131-740-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W. 106TH ST. SUITE #125-123
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-403-4065
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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 | 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 | IN
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