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General NPI Number Information
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NPI Number | 1336388123
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Entity Type | Organization
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Legal Business Name | RICHARD A RUZUMNA, M.D.
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 29260 FRANKLIN RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1161
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Country | US
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Telephone | 248-352-1440
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Fax | 248-626-4849
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Provider Business Mailing Address
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Address Line | 29260 FRANKLIN RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1161
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Country | US
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Telephone | 248-352-1440
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Fax | 248-626-4849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ALLEN RUZUMNA
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Credential | M.D.
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Telephone | 248-352-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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