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General NPI Number Information
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NPI Number | 1093814550
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Entity Type | Organization
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Legal Business Name | ELENA RUZZI FARRELL DO PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4386 STURBRIDGE DRIVE
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City | HARRISBURG
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State | PA
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Zip | 17110-3668
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Country | US
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Telephone | 717-652-4924
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Fax | 717-652-1015
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Provider Business Mailing Address
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Address Line | 4386 STURBRIDGE DRIVE
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City | HARRISBURG
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State | PA
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Zip | 17110-3668
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Country | US
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Telephone | 717-652-4924
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Fax | 717-652-1015
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELENA RUZZI FARRELL
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Credential | DO
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Telephone | 717-652-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS-008191-L
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License Number State | PA
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