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General NPI Number Information
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NPI Number | 1760629000
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Entity Type | Organization
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Legal Business Name | PETER A RUIZ DC INC
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 991 CASS STREET
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City | MONTEREY
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State | CA
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Zip | 93940-4517
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Country | US
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Telephone | 831-375-2225
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Fax | 831-375-3967
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Provider Business Mailing Address
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Address Line | 991 CASS STREET
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City | MONTEREY
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State | CA
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Zip | 93940-4517
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Country | US
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Telephone | 831-375-2225
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Fax | 831-375-3967
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | PETER A RUIZ
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Credential | DC
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Telephone | 831-375-2225
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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 |
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License Number State |
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