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General NPI Number Information
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NPI Number | 1326241852
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Entity Type | Individual
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Provider Name | RUTH A CHAZA-NDLOVU CNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 33693 VINE ST
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City | WILLOWICK
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State | OH
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Zip | 44095-3455
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Country | US
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Telephone | 440-768-2794
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Fax | 888-355-7033
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 888-987-1151
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN332159
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.18168-NP
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License Number State | OH
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