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General NPI Number Information
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NPI Number | 1073177317
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Entity Type | Individual
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Provider Name | ERIN MICHELLE RUIZ CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 4050 N GEORGE STREET EXT.
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City | MANCHESTER
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State | PA
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Zip | 17345-9347
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Country | US
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Telephone | 717-356-4380
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Fax | 717-345-4382
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP020294
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | SP020294
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License Number State | PA
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