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General NPI Number Information
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NPI Number | 1801112792
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Entity Type | Individual
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Provider Name | SARA A RUBY ACNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 10 OFFICE PARK DRIVE SUITE B
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City | HAMILTON
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State | OH
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Zip | 45013-1585
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Country | US
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Telephone | 513-893-5864
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Fax | 513-893-5865
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Provider Business Mailing Address
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Address Line | 10 OFFICE PARK DRIVE SUITE B
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City | HAMILTON
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State | OH
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Zip | 45013-1585
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Country | US
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Telephone | 513-893-5864
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Fax | 513-893-5865
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN318517
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.11528-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | COA11528-NP
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License Number State | OH
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