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1104915727 NPI number — SHARLYN R RUHE PA-C

NPI Number: 1104915727
Health Care Provider/Practitioner: SHARLYN R RUHE PA-C

Information about “1104915727” NPI (SHARLYN R RUHE PA-C) exists in 1104915727 in HTML format HTML  |  1104915727 in plain Text format TXT  |  1104915727 in PDF (Portable Document Format) PDF  |  1104915727 in an XML format XML  formats.

NPI Number : 1104915727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104915727",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUHE",
    "FirstName": "SHARLYN",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAVAGO",
    "OtherFirstName": "SHARLYN",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2907 SHELTER ISLAND DR",
    "SecondLineMailingAddress": "STE 105, PMB 239",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92106-2743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-287-8084",
    "MailingAddressFaxNumber": "619-546-6415",
    "FirstLinePracticeLocationAddress": "3350 LA JOLLA VILLAGE DR",
    "SecondLinePracticeLocationAddress": "128",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92161-2771",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-552-8585",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2006",
    "LastUpdateDate": "03/30/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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