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General NPI Number Information
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NPI Number | 1467775700
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Entity Type | Individual
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Provider Name | DAVID RULON BUDGE PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 10652 S EASTERN AVE SUITE A
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City | HENDERSON
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State | NV
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Zip | 89052-4952
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Country | US
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Telephone | 702-476-2800
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Fax | 702-476-2040
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Provider Business Mailing Address
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Address Line | PO BOX 743752
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City | ATLANTA
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State | GA
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Zip | 30374-3752
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Country | US
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Telephone | 972-745-7500
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Fax | 972-956-8887
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1204
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License Number State | NV
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