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General NPI Number Information
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NPI Number | 1205413952
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Entity Type | Individual
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Provider Name | FRANCIS RUIZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2021
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 190 UNIVERSAL DR N # 103
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3156
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Country | US
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Telephone | 203-234-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 181 MADISON RD
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City | DURHAM
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State | CT
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Zip | 06422-2910
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Country | US
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Telephone | 559-380-5790
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 77287
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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