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General NPI Number Information
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NPI Number | 1558511345
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Entity Type | Organization
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Legal Business Name | KARELIA RUIZ MD PA
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 1949 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-4403
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Country | US
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Telephone | 305-828-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-4403
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Country | US
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Telephone | 305-828-9100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARELIA RUIZ
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Credential | M.D.
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Telephone | 305-828-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME92976
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License Number State | FL
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