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General NPI Number Information
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NPI Number | 1992751622
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Entity Type | Individual
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Provider Name | JOSEPHINE RUIZ-HEALY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 4115 MEDICAL DR STE 305
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5636
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Country | US
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Telephone | 210-615-8272
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Fax | 210-692-9455
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Provider Business Mailing Address
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Address Line | PO BOX 2277
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City | SAN ANTONIO
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State | TX
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Zip | 78298-2277
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Country | US
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Telephone | 210-558-6288
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Fax | 210-558-6289
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H5961
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License Number State | TX
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