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General NPI Number Information
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NPI Number | 1679657332
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Entity Type | Individual
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Provider Name | DALE E RUPPLE PHD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3000 ERIE ST S
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City | MASSILLON
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State | OH
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Zip | 44646-7976
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Country | US
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Telephone | 330-833-3135
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Fax | 330-833-7327
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Provider Business Mailing Address
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Address Line | 30 E BROAD ST 11TH FLOOR ATTN TONYA FASONE
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City | COLUMBUS
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State | OH
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Zip | 43215
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Country | US
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Telephone | 614-466-9930
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Fax | 614-644-9116
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3023
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License Number State | OH
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