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General NPI Number Information
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NPI Number | 1225097058
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Entity Type | Individual
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Provider Name | PHILIP JOHN RUZBARSKY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 125 AIRPORT DR SUITE 34
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City | WESTMINSTER
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State | MD
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Zip | 21157-3024
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Country | US
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Telephone | 410-848-8882
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Fax | 410-848-8767
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Provider Business Mailing Address
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Address Line | 125 AIRPORT DR SUITE 34
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City | WESTMINSTER
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State | MD
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Zip | 21157-3024
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Country | US
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Telephone | 410-848-8882
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Fax | 410-848-8768
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D33599
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License Number State | MD
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