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General NPI Number Information
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NPI Number | 1134912546
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Entity Type | Individual
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Provider Name | JENNIFER RUFANO CSTFA
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 169 MARTIN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1734
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Country | US
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Telephone | 717-733-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 COVENTRY RD
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City | LANCASTER
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State | PA
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Zip | 17601-3030
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Country | US
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Telephone | 717-672-1429
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Fax | 717-672-1429
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 23-368
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License Number State |
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