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General NPI Number Information
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NPI Number | 1417915802
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Entity Type | Individual
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Provider Name | JENNIFER BLAIR POLLARD RUIZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 6300 BEE CAVES RD STE 450
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City | AUSTIN
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State | TX
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Zip | 78746-5832
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Country | US
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Telephone | 512-829-0565
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Fax | 512-309-7031
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Provider Business Mailing Address
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Address Line | 6300 BEE CAVES RD STE 450
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City | AUSTIN
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State | TX
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Zip | 78746-5832
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Country | US
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Telephone | 512-829-0565
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Fax | 512-309-7031
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P5450
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | P5450
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License Number State | TX
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