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General NPI Number Information
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NPI Number | 1508576273
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Entity Type | Individual
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Provider Name | ARIANA JEZELLE RUIZ
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Gender | Female
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1000 S FREMONT AVE UNIT 7
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City | ALHAMBRA
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State | CA
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Zip | 91803-8897
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Country | US
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Telephone | 626-457-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 227 S CATALINA AVE UNIT 3
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City | PASADENA
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State | CA
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Zip | 91106-5004
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Country | US
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Telephone | 909-532-2724
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 035004
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License Number State | NY
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