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General NPI Number Information
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NPI Number | 1508933243
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Entity Type | Individual
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Provider Name | JOSE F RUIZ LIC. AC.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 591 NORTH AVE., DOOR 1 FAMILY ACUPUNCTURE AND HERBS OF READING LLC
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City | WAKEFIELD
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State | MA
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Zip | 01880
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Country | US
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Telephone | 781-944-5443
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Fax |
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Provider Business Mailing Address
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Address Line | 18 PRINCETON RD
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City | BURLINGTON
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State | MA
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Zip | 01803-2325
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Country | US
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Telephone | 781-944-5443
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 226526
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License Number State | MA
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