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General NPI Number Information
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NPI Number | 1275513541
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Entity Type | Individual
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Provider Name | ALBERTO ANTONIO RULLAN DPM
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 1536 N JEFFERSON ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6525
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Country | US
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Telephone | 904-756-1394
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 N JEFFERSON ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6525
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Country | US
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Telephone | 904-756-1394
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N004908-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3814
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License Number State | FL
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