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General NPI Number Information
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NPI Number | 1629921846
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Entity Type | Individual
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Provider Name | RUZANNA ANNA MINASYAN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2701 S CONGRESS AVE # 100
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City | AUSTIN
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State | TX
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Zip | 78704-6413
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Country | US
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Telephone | 512-641-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 19104 ZAVALA CV
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City | AUSTIN
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State | TX
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Zip | 78738-4410
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Country | US
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Telephone | 818-808-7203
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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 | 1227543
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License Number State | TX
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