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General NPI Number Information
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NPI Number | 1861691909
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Entity Type | Individual
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Provider Name | ANDREA C RUYGROK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 445 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4565
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Country | US
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Telephone | 828-230-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 3 FAIRFIELD DR
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City | CANDLER
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State | NC
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Zip | 28715-9459
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Country | US
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Telephone | 828-230-0299
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16540
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License Number State | NC
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