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General NPI Number Information
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NPI Number | 1801803382
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Entity Type | Individual
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Provider Name | BARBARA JEAN RUITERMAN PA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 130 CEDAR RD # 210
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City | VISTA
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State | CA
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Zip | 92083-5102
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Country | US
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Telephone | 760-806-5560
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Fax | 760-945-3284
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Provider Business Mailing Address
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Address Line | 2201 MISSION AVE
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City | OCEANSIDE
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State | CA
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Zip | 92054-2328
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Country | US
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Telephone | 760-806-5500
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Fax | 760-945-3284
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12527
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License Number State |
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