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General NPI Number Information
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NPI Number | 1366852311
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Entity Type | Individual
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Provider Name | RUTA YARDI ANDRESS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE B101
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-5661
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 MURRAY HILL RD APT 4
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City | CLEVELAND
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State | OH
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Zip | 44106-2684
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Country | US
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Telephone | 216-225-2812
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 52763
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License Number State | KY
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