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General NPI Number Information
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NPI Number | 1538729124
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Entity Type | Organization
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Legal Business Name | LAWRENCE E RUF MD PC
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD STE 501
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City | POOLER
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State | GA
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Zip | 31322-4061
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Country | US
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Telephone | 912-988-1781
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Fax | 912-777-7591
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Provider Business Mailing Address
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Address Line | 1000 TOWNE CENTER BLVD STE 501
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City | POOLER
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State | GA
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Zip | 31322-4061
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Country | US
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Telephone | 912-988-1781
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Fax | 912-777-7591
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE E RUF
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Credential | MD
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Telephone | 912-988-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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