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General NPI Number Information
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NPI Number | 1609691344
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Entity Type | Individual
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Provider Name | CINDY NGUYEN RUISI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 100 S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14604-1846
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Country | US
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Telephone | 585-366-8598
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Fax |
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Provider Business Mailing Address
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Address Line | 88 HAYWARDS HEATH
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City | WEST HENRIETTA
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State | NY
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Zip | 14586-9496
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Country | US
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Telephone | 585-507-8757
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F353179-01
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License Number State | NY
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