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General NPI Number Information
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NPI Number | 1962835132
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Entity Type | Individual
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Provider Name | PATRICK JOHN RUGO D.P.T
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Gender | Male
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 710 LAWRENCE EXPY DEPARTMENT 174
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City | SANTA CLARA
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State | CA
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Zip | 95051-5173
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Country | US
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Telephone | 408-851-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 166 LOCKSLEY AVE APT. 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4724
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Country | US
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Telephone | 408-204-4156
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40308
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License Number State | CA
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