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General NPI Number Information
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NPI Number | 1922452523
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Entity Type | Organization
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Legal Business Name | MIGUEL A. RIUZ, DDS. PA
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 600 RIVER POINTE DR SUITE 200A
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City | CONROE
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State | TX
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Zip | 77304-2866
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Country | US
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Telephone | 936-539-6000
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Fax | 936-539-6002
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Provider Business Mailing Address
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Address Line | 600 RIVER POINTE DR SUITE 200A
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City | CONROE
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State | TX
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Zip | 77304-2866
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Country | US
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Telephone | 936-539-6000
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Fax | 936-539-6002
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. MIGUEL A RUIZ JR.
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Credential | DDS
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Telephone | 936-539-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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