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General NPI Number Information
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NPI Number | 1942541552
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Entity Type | Organization
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Legal Business Name | KURT VON RUEDEN, MD, PA
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 100 MEDICAL PKWY
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City | LAKEWAY
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State | TX
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Zip | 78738-5621
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Country | US
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Telephone | 512-347-7463
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Fax | 512-532-0321
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Provider Business Mailing Address
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Address Line | PO BOX 2726
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City | SAN ANTONIO
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State | TX
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Zip | 78299-2726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KURT VON RUEDEN
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Credential |
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Telephone | 512-347-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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