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General NPI Number Information
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NPI Number | 1922920131
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Entity Type | Individual
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Provider Name | RUBY LYNN BREUER PTA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 8800 US HIGHWAY 61
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City | LANCASTER
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State | WI
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Zip | 53813-9306
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Country | US
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Telephone | 608-723-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 3360 GATEWAY RD STE 100
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City | BROOKFIELD
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State | WI
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Zip | 53045-5115
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Country | US
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Telephone | 262-923-7101
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4359-19
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License Number State | WI
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