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General NPI Number Information
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NPI Number | 1700760121
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Entity Type | Individual
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Provider Name | ALBERTO A RUIZ
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Gender | Male
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3215 GATEWAY BLVD W
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City | EL PASO
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State | TX
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Zip | 79903-4225
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Country | US
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Telephone | 915-598-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221530
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City | EL PASO
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State | TX
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Zip | 79913-4530
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Country | US
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Telephone | 915-598-7246
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1214047
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License Number State | TX
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