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General NPI Number Information
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NPI Number | 1043393044
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Entity Type | Individual
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Provider Name | CHRISTOPHER T RUSKEY MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N UNION BLVD STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-7200
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Country | US
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Telephone | 303-493-7000
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 36458
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CO36458
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License Number State | CO
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