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General NPI Number Information
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NPI Number | 1356353098
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Entity Type | Organization
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Legal Business Name | ALBERT RUIZ DDS FAMILY & COSMETIC DENTISTRY LLC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 529 US HWY 27 SOUTH
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City | SEBRING
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State | FL
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Zip | 33870-2108
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Country | US
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Telephone | 863-385-6200
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Fax | 863-386-0770
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Provider Business Mailing Address
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Address Line | 529 US HWY 27 SOUTH
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City | SEBRING
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State | FL
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Zip | 33870-2108
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Country | US
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Telephone | 863-385-6200
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Fax | 863-386-0770
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERT RUIZ
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Credential | DDS
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Telephone | 863-385-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN0012784
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License Number State | FL
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