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General NPI Number Information
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NPI Number | 1568570646
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Entity Type | Organization
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Legal Business Name | PATRICK R RUEHLE DDS PA
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 3490 TEASLEY LANE
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City | DENTON
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State | TX
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Zip | 76210-8324
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Country | US
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Telephone | 940-566-4888
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Fax | 940-566-2250
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Provider Business Mailing Address
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Address Line | 3490 TEASLEY LANE
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City | DENTON
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State | TX
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Zip | 76210-8324
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Country | US
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Telephone | 940-566-4888
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Fax | 940-566-2250
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK R RUEHLE
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Credential | DDS
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Telephone | 940-566-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14982
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13802
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License Number State | TX
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