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General NPI Number Information
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NPI Number | 1508377672
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Entity Type | Individual
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Provider Name | JOSLIN DEYIBETH RUIZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 124 WAIANAE CT
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City | BASTROP
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State | TX
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Zip | 78602-2036
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Country | US
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Telephone | 772-217-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 124 WAIANAE CT
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City | BASTROP
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State | TX
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Zip | 78602-2036
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Country | US
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Telephone | 512-779-2779
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018439
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906487
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TMP-160140
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10014723
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TPAN309
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NR22555100
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135312
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License Number State | TX
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