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NPI Code Detail

MEDICARE: MR. ALEXANDER JAMES RULON BS

MEDICARE: MR. ALEXANDER JAMES RULON BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1952812398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEXANDER JAMES RULON BS
Provider Business Mailing Address
First Line : 1531 DORSET WAY
Second Line :
City : LOVELAND
State : OH
Zip : 45140-8439
Country : US
Telephone Number : 513-961-3292
Fax Number :
Provider Business Practice Location Address
First Line : 4531 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-1229
Country : US
Telephone Number : 513-961-3292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 10/12/2017

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