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General NPI Number Information
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NPI Number | 1699305300
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Entity Type | Individual
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Provider Name | JUAN FRANCISCO RUIZ RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4001 ROSSLYN DR
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City | CINCINNATI
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State | OH
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Zip | 45209-1111
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Country | US
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Telephone | 954-399-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 SW 160TH AVE STE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6314
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Country | US
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Telephone | 954-399-4673
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.154724
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MDRE.ML.61312286
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License Number State | WA
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