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General NPI Number Information
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NPI Number | 1295732055
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Entity Type | Individual
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Provider Name | STEVEN A RUPERT D.O
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 5925 OLD HWY 60 WEST SUITE D
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City | PADUCAH
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State | KY
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Zip | 42001
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Country | US
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Telephone | 270-228-0118
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Fax | 270-228-0120
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Provider Business Mailing Address
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Address Line | 5925 OLD HWY 60 WEST SUITE D
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City | PADUCAH
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State | KY
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Zip | 42001
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Country | US
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Telephone | 270-228-0118
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Fax | 270-228-0120
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 02001097
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License Number State | IN
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