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General NPI Number Information
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NPI Number | 1609414473
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Entity Type | Individual
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Provider Name | RUTH GRACE GARCIA SAYAS AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2689
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Country | US
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Telephone | 313-916-7178
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Fax | 313-916-4353
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Provider Business Mailing Address
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Address Line | 13430 E 13 MILE RD
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City | WARREN
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State | MI
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Zip | 48088-3187
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Country | US
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Telephone | 586-427-1351
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Fax | 586-486-5669
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704246819
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704246819
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License Number State | MI
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