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General NPI Number Information
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NPI Number | 1245623230
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Entity Type | Individual
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Provider Name | JONI LYN RUFFNER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/15/2015
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 3600 KOLBE RD STE 227
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City | LORAIN
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State | OH
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Zip | 44053-1601
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Country | US
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Telephone | 440-960-4512
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Fax | 440-960-4513
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Provider Business Mailing Address
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Address Line | 3600 KOLBE RD STE 227
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City | LORAIN
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State | OH
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Zip | 44053-1601
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Country | US
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Telephone | 440-960-4512
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Fax | 440-960-4513
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | AG1214053
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | AG1214053
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AG1214053
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License Number State | OH
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