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General NPI Number Information
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NPI Number | 1023874823
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Entity Type | Individual
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Provider Name | JANE RUGE PT, DPT, PCS
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Gender | Female
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 195 GREENWAY DR
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2026
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Country | US
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Telephone | 630-351-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 22W600 BUTTERFIELD RD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-6901
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Country | US
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Telephone | 630-942-5600
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 070013593
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License Number State | IL
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