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General NPI Number Information
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NPI Number | 1831199546
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Entity Type | Individual
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Provider Name | THOMAS J. RUHNKE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 2831 E PRESIDENT GEORGE BUSH HWY
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City | RICHARDSON
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State | TX
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Zip | 75082-3561
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Country | US
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Telephone | 469-204-5000
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Fax | 469-204-5036
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Provider Business Mailing Address
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Address Line | 2609 RUTGERS CT
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City | PLANO
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State | TX
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Zip | 75093-8700
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Country | US
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Telephone | 214-564-5051
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | H8366
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License Number State | TX
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