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General NPI Number Information
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NPI Number | 1366130627
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Entity Type | Individual
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Provider Name | SAMANTHA ROSE RUHLEN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 5500 N MEADOWS DR STE 230
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City | GROVE CITY
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State | OH
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Zip | 43123-7687
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Country | US
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Telephone | 614-347-4939
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Fax | 614-383-6001
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 239-432-8331
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Fax | 813-321-1296
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0033851
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License Number State | OH
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