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General NPI Number Information
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NPI Number | 1336209352
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Entity Type | Individual
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Provider Name | ALBERTO A RUIZ DMD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 4244 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33624-5241
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Country | US
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Telephone | 813-960-9080
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Fax | 813-960-1090
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Provider Business Mailing Address
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Address Line | 11408 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617
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Country | US
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Telephone | 813-980-6300
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Fax | 813-988-3829
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN12062
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License Number State | FL
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