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General NPI Number Information
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NPI Number | 1649833732
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Entity Type | Individual
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Provider Name | GABRIEL STEPHEN RUIZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 7010 E CHAUNCEY LN STE 215
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City | PHOENIX
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State | AZ
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Zip | 85054-3117
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Country | US
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Telephone | 480-462-2716
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Fax | 480-436-5436
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Provider Business Mailing Address
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Address Line | 7010 E CHAUNCEY LN STE 215
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City | PHOENIX
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State | AZ
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Zip | 85054-3117
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Country | US
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Telephone | 480-462-2716
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Fax | 480-436-5436
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 66825
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AZ
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