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General NPI Number Information
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NPI Number | 1750600870
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Entity Type | Individual
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Provider Name | WILLIAM ANDREW RUGGLES APRN
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Gender | Male
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 137 STATE ROUTE 3117
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City | SOUTH SHORE
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State | KY
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Zip | 41175
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Country | US
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Telephone | 606-932-2079
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Fax | 606-932-2313
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Provider Business Mailing Address
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Address Line | 137 STATE ROUTE 3117
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City | SOUTH SHORE
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State | KY
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Zip | 41175-9597
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Country | US
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Telephone | 606-932-2079
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Fax | 606-932-2313
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3273051
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3006477
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3006477
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11818
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License Number State | OH
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