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General NPI Number Information
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NPI Number | 1053571273
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Entity Type | Individual
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Provider Name | RUCHI JAIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 2 OVERHILL ROAD SUITE 220
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City | SCARSDALE
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State | NY
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Zip | 10583-5336
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Country | US
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Telephone | 914-639-2700
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Fax | 833-992-2090
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Provider Business Mailing Address
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Address Line | 2 OVERHILL ROAD SUITE 220
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City | SCARSDALE
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State | NY
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Zip | 10583-5336
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Country | US
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Telephone | 914-639-2700
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Fax | 833-992-2090
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 245974
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License Number State | NY
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