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General NPI Number Information
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NPI Number | 1063725505
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Entity Type | Organization
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Legal Business Name | DAVID P RUOFF, MD, INC, PS.
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 4361 TALBOT RD S SUITE 102
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City | RENTON
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State | WA
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Zip | 98055-6226
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Country | US
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Telephone | 425-226-1180
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Fax | 425-235-0695
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Provider Business Mailing Address
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Address Line | 4361 TALBOT RD S SUITE 102
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City | RENTON
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State | WA
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Zip | 98055-6226
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Country | US
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Telephone | 425-226-1180
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Fax | 425-235-0695
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Authorized Official
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Title or Position | OWNER
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Name | DAVID P RUOFF
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Credential | M.D
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Telephone | 425-226-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD00025165
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License Number State | WA
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