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General NPI Number Information
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NPI Number | 1205918182
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Entity Type | Individual
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Provider Name | ROBERT ERIC RUIZ MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 848 ADAMS AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2816
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Country | US
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Telephone | 901-287-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 67 MADISON AVE APT 209
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City | MEMPHIS
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State | TN
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Zip | 38103-6101
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Country | US
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Telephone | 734-883-5741
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | ME108507
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 62147
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME108507
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | ME108507
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | 62147
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 62147
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License Number State | TN
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