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General NPI Number Information
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NPI Number | 1972443760
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Entity Type | Individual
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Provider Name | DANIEL RUFFRAGE RN
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 111 HOSPITAL DR
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City | UTICA
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State | NY
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Zip | 13502-2517
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Country | US
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Telephone | 315-917-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13501-5930
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Country | US
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Telephone | 315-624-6099
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Fax | 315-801-8391
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 773481
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License Number State | NY
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