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General NPI Number Information
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NPI Number | 1255010260
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Entity Type | Individual
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Provider Name | YANSMARIE RUIZ ADS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | CARR 129 R 455 K1 H7 BO QUEBRADA
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City | CAMUY
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State | PR
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Zip | 00669-9125
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Country | US
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Telephone | 787-639-0639
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 129 R 455 K1 H7 BO QUEBRADA HC 2 BUZON 7846
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City | CAMUY
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State | PR
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Zip | 00627-9125
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Country | US
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Telephone | 787-639-0639
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 39265
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License Number State | PR
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