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General NPI Number Information
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NPI Number | 1689318099
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Entity Type | Individual
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Provider Name | CLAUDIA RUIZ
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Gender | Female
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1400 FLORIDA AVE STE 102
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City | MODESTO
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State | CA
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Zip | 95350-4446
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Country | US
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Telephone | 209-573-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 CUSTOMER CARE WAY
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City | ATWATER
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State | CA
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Zip | 95301-5167
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Country | US
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Telephone | 209-384-6498
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 205961
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2278G1100X
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Taxonomy Name | General Care Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10597
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License Number State | CA
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