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General NPI Number Information
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NPI Number | 1437395183
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Entity Type | Organization
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Legal Business Name | ROBERT D RUPERT JR, INC.
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 1492 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1546
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Country | US
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Telephone | 614-257-2094
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Fax | 614-257-2812
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD SUITE 270
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-947-3700
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Fax | 614-947-3776
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Authorized Official
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Title or Position | DOCTOR OF MEDICINE
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Name | DR. ROBERT DEAN RUPERT JR.
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Credential | M.D.
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Telephone | 614-882-3776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 193400000X
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License Number State | OH
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