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General NPI Number Information
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NPI Number | 1730244658
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Entity Type | Individual
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Provider Name | ANDREA JOY RUZICKA B.S., D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 930 W BROADWAY RD STE 7
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City | TEMPE
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State | AZ
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Zip | 85282-1269
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Country | US
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Telephone | 480-829-9593
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Fax | 480-829-9594
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Provider Business Mailing Address
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Address Line | 3850 E SHOMI ST
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City | PHOENIX
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State | AZ
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Zip | 85044-3850
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Country | US
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Telephone | 480-785-5150
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Fax | 480-829-9593
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5938
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 3541
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License Number State | AZ
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