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General NPI Number Information
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NPI Number | 1194802389
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Entity Type | Individual
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Provider Name | MELISSA RUIZ CADY D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 6104 OLD FREDERICKSBURG RD # 92844
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City | AUSTIN
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State | TX
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Zip | 78749-1216
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Country | US
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Telephone | 669-237-2239
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92844
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City | AUSTIN
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State | TX
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Zip | 78709-2844
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Country | US
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Telephone | 669-237-2239
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 4207
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M4554
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License Number State | TX
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