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General NPI Number Information
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NPI Number | 1689930885
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Entity Type | Individual
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Provider Name | LESLIE FAYE RUFF BSN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1407 SAINT ANDREW ST STE100
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City | LA CROSSE
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State | WI
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Zip | 54603-3301
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Country | US
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Telephone | 608-785-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 613 E 2ND ST
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City | WINONA
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State | MN
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Zip | 55987-4220
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Country | US
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Telephone | 507-961-0433
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 172012-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 172953-9R-
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 130220
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License Number State | IA
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