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General NPI Number Information
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NPI Number | 1093398570
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Entity Type | Individual
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Provider Name | SANDRA MARIA RUGAMA OD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 615 MAIN ST
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City | LOUISVILLE
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State | CO
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Zip | 80027-1894
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Country | US
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Telephone | 303-666-6320
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Fax | 303-666-6520
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Provider Business Mailing Address
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Address Line | 1824 ALPINE DR
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City | ERIE
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State | CO
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Zip | 80516-4015
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Country | US
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Telephone | 956-483-5983
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Fax | 303-666-6520
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003768
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 245606
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 390200000X
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License Number State | TX
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