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General NPI Number Information
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NPI Number | 1366355547
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Entity Type | Individual
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Provider Name | CRISTINA MARIE LUGO RUIZ DPT
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 5627 NW 86TH ST STE 200
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City | JOHNSTON
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State | IA
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Zip | 50131-2605
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Country | US
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Telephone | 515-270-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 10TH ST APT 332
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City | DUBUQUE
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State | IA
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Zip | 52001-7620
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 130104
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License Number State | IA
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