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General NPI Number Information
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NPI Number | 1518340728
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Entity Type | Individual
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Provider Name | JAMES ALEXANDER RUVALCABA MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2600 SW HOLDEN ST
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City | SEATTLE
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State | WA
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Zip | 98126-3505
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Country | US
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Telephone | 206-933-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2019 BOREN AVE APT 4109
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City | SEATTLE
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State | WA
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Zip | 98121-3151
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Country | US
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Telephone | 414-477-8571
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 263521
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 67904
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61484786
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License Number State | WA
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