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General NPI Number Information
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NPI Number | 1205784139
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Entity Type | Organization
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Legal Business Name | PICC & VASCULAR ACCESS PROFESSIONALS PLLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 209 BUNGALOW DR
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City | NEW BERN
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State | NC
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Zip | 28562-8454
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Country | US
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Telephone | 252-649-8796
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BUNGALOW DR
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City | NEW BERN
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State | NC
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Zip | 28562-8454
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Country | US
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Telephone | 252-649-8796
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. MICHAEL ANTHONY RUFFULE II
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Credential | BSN, RN, VA-BC,CCRN
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Telephone | 252-649-8796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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