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NPI 1306454335

NPI 1306454335 : FRANK P RUFFINO III DDS PC : SHELBY TWP, MI

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General NPI Number Information
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    NPI Number           |    1306454335
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK P RUFFINO III DDS PC 
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Dates
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    Enumeration Date     |    07/15/2020
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    Last Update Date     |    03/18/2025
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Provider Practice Location Address
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    Address Line         |    51333 MOUND RD 
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    City                 |    SHELBY TWP
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    State                |    MI
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    Zip                  |    48316-4344
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    Country              |    US
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    Telephone            |    586-799-4240
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    51333 MOUND RD 
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    City                 |    SHELBY TWP
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    State                |    MI
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    Zip                  |    48316-4344
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    Country              |    US
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    Telephone            |    586-799-4240
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     JENNIFER  DUFF 
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    Credential           |    RDH
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    Telephone            |    586-799-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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