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General NPI Number Information
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NPI Number | 1427099118
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Entity Type | Individual
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Provider Name | PAUL J. RUPP M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 500 HARRIS DR
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City | OXFORD
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State | OH
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Zip | 45056-3640
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Country | US
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Telephone | 513-529-3000
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Fax | 513-852-7446
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3397
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Country | US
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Telephone | 513-853-4722
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35064341
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License Number State | OH
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