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General NPI Number Information
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NPI Number | 1801369921
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Entity Type | Individual
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Provider Name | RUBY LEE AYRES
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 700 CHIEF EDDIE HOFFMAN
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City | BETHEL
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State | AK
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Zip | 99559
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Country | US
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Telephone | 907-543-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 W FARM ROAD 42
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City | PLEASANT HOPE
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State | MO
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Zip | 65725-9157
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Country | US
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Telephone | 417-838-5675
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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 | 188570
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2018043748
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61002103
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License Number State | WA
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