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General NPI Number Information
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NPI Number | 1194965129
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Entity Type | Individual
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Provider Name | KEVIN HAROLD RUGGLES MD
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Gender | Male
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2727 PLAZA DR
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City | WAUSAU
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State | WI
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Zip | 54401-4192
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Country | US
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Telephone | 715-847-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVENUE
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone | 715-387-5511
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036115976
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 26871
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License Number State | WI
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