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General NPI Number Information
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NPI Number | 1598907511
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Entity Type | Organization
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Legal Business Name | RUGAL ENTERPRISES LLC
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 3411 IRWIN AVE APT 22J
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City | BRONX
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State | NY
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Zip | 10463-3744
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Country | US
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Telephone | 917-836-4815
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | NEW YORK
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State | NY
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Zip | 10012-0008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TAHNEE GALARZA
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Credential | RN
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Telephone | 917-836-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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