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General NPI Number Information
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NPI Number | 1578604922
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Entity Type | Individual
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Provider Name | JAMES ANDREW RUFF P.T.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3501 HARRY LANGDON BLVD SUITE 160
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-7837
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Country | US
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Telephone | 712-366-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 AVENUE B
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-2067
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Country | US
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Telephone | 712-322-2622
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 00855
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License Number State | IA
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