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General NPI Number Information
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NPI Number | 1487468906
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Entity Type | Individual
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Provider Name | BOBBIE KRISTENA RUIZ FNP-BC BSN RN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2675 PACES FERRY RD SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-4099
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Country | US
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Telephone | 678-813-3775
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Fax | 770-626-3791
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Provider Business Mailing Address
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Address Line | 1405 SPRING ST NW APT 29M
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City | ATLANTA
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State | GA
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Zip | 30309-5148
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Country | US
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Telephone | 678-278-5489
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN300400
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License Number State | GA
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