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General NPI Number Information
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NPI Number | 1265352843
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Entity Type | Organization
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Legal Business Name | THE RUBY-NELL AGENCY
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 22810 30TH AVE S UNIT B203
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City | DES MOINES
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State | WA
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Zip | 98198-7298
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Country | US
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Telephone | 206-572-5771
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Fax | 206-338-9964
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Provider Business Mailing Address
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Address Line | 22810 30TH AVE S UNIT B203
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City | DES MOINES
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State | WA
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Zip | 98198-7298
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Country | US
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Telephone | 206-572-5771
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Fax | 206-338-9964
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Authorized Official
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Title or Position | LEAD COORDINATOR
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Name | CHARLENE BORDERS
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Credential | BORDERS
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Telephone | 206-572-5771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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