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General NPI Number Information
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NPI Number | 1942313671
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM RUESS MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 350 FALCON RIDGE PKWY STE 501
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City | MESQUITE
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State | NV
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Zip | 89027-8880
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Country | US
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Telephone | 702-346-8346
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Fax | 702-346-5999
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Provider Business Mailing Address
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Address Line | 350 FALCON RIDGE PKWY STE 501
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City | MESQUITE
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State | NV
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Zip | 89027-8880
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Country | US
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Telephone | 702-346-8346
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Fax | 801-858-4880
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 11758
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 11758
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 11758
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License Number State | NV
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