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General NPI Number Information
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NPI Number | 1083870588
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Entity Type | Individual
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Provider Name | KENNETH RASALAN DULNUAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 501 SEAVIEW AVE STE 300
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3400
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Country | US
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Telephone | 718-226-3202
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Fax | 718-226-7091
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Provider Business Mailing Address
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Address Line | 8813 RIDGE BLVD FL 1
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City | BROOKLYN
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State | NY
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Zip | 11209-5613
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Country | US
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Telephone | 315-395-8014
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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 | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 25MA10692000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 338375
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45759
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA10692000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 45759
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 25MA10692000
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 45759
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 338375
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10692000
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License Number State | NJ
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 338375
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License Number State | NY
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