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NPI 1821395500

NPI 1821395500 : SARAH RUFFNER P.A. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1821395500
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH RUFFNER P.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2011
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    Last Update Date     |    01/14/2022
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Provider Practice Location Address
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    Address Line         |    7777 FOREST LN SUITE D308
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-2571
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    Country              |    US
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    Telephone            |    972-566-6415
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    Fax                  |    972-566-8679
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Provider Business Mailing Address
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    Address Line         |    11970 N CENTRAL EXPY STE N280 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-3768
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    006055
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    License Number State |    GA
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