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General NPI Number Information
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NPI Number | 1417367186
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Entity Type | Individual
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Provider Name | ADAM FORREST RUGGLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1406 6TH AVE N
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City | SAINT CLOUD
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State | MN
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Zip | 56303
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Country | US
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Telephone | 320-251-2700
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Fax | 320-229-5109
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Provider Business Mailing Address
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Address Line | 1406 6TH AVE N
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City | SAINT CLOUD
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State | MN
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Zip | 56303-1901
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Country | US
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Telephone | 320-251-2700
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R74333
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 65371
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 33889
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A155672
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License Number State | CA
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