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General NPI Number Information
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NPI Number | 1932213089
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Entity Type | Individual
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Provider Name | GERALD ANTHONY RUGGIERO M.S. RRT
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 178 BEACH 133RD ST REAR ENTRANCE
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-1434
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Country | US
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Telephone | 718-474-7897
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Fax | 718-474-7897
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Provider Business Mailing Address
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Address Line | 178 BEACH 133RD ST PRIVATE
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-1434
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Country | US
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Telephone | 718-474-7897
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Fax | 718-474-7897
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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 | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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