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General NPI Number Information
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NPI Number | 1528632403
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Entity Type | Organization
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Legal Business Name | RUDO EYE CARE CENTER
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 612 N DUPONT BLVD
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City | MILFORD
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State | DE
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Zip | 19963-1002
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Country | US
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Telephone | 302-503-7421
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Fax |
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Provider Business Mailing Address
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Address Line | 612 N DUPONT BLVD
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City | MILFORD
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State | DE
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Zip | 19963-1002
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Country | US
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Telephone | 302-503-7421
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. KAREN RUDO
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Credential |
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Telephone | 302-503-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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