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General NPI Number Information
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NPI Number | 1639980998
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Entity Type | Individual
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Provider Name | ALISHA NICOLE RUHL AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 7819 STATE ROUTE 19
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City | GALION
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State | OH
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Zip | 44833-9654
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Country | US
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Telephone | 419-560-5028
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Fax | 419-946-5098
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Provider Business Mailing Address
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Address Line | 651 W MARION RD
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-1096
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Country | US
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Telephone | 419-560-5028
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Fax | 419-949-3116
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT005372
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License Number State | OH
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