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General NPI Number Information
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NPI Number | 1902164098
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Entity Type | Individual
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Provider Name | GEORGE RICHARD RUEB MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 2720 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4810
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Country | US
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Telephone | 803-791-2460
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Fax | 803-791-2519
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Provider Business Mailing Address
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Address Line | 525 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44304-1619
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Country | US
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Telephone | 330-375-3771
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Fax | 330-375-6217
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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 | 83768
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35134280
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 83768
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License Number State | SC
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