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NPI 1386668952

NPI 1386668952 : HARRY H RUPP : LEMOYNE, PA

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General NPI Number Information
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    NPI Number           |    1386668952
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY H RUPP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    01/02/2008
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Provider Practice Location Address
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    Address Line         |    722 STATE ST 
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    City                 |    LEMOYNE
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    State                |    PA
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    Zip                  |    17043-1536
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    Country              |    US
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    Telephone            |    717-737-7831
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    Fax                  |    717-763-0959
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Provider Business Mailing Address
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    Address Line         |    PO BOX 66 
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    City                 |    LEMOYNE
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    State                |    PA
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    Zip                  |    17043-0066
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    Country              |    US
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    Telephone            |    717-737-7831
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    Fax                  |    717-763-0959
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    PA
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