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General NPI Number Information
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NPI Number | 1700040706
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Entity Type | Organization
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Legal Business Name | RULAND FAMILY DENTISTRY, PA
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1616 FOREST DR SUITE 6
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City | ANNAPOLIS
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State | MD
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Zip | 21403-1019
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Country | US
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Telephone | 410-268-5800
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Fax | 410-268-0513
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Provider Business Mailing Address
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Address Line | 1616 FOREST DR SUITE 6
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City | ANNAPOLIS
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State | MD
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Zip | 21403-1019
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Country | US
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Telephone | 410-268-5800
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Fax | 410-268-0513
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN P RULAND
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Credential | DDS
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Telephone | 410-268-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 3446
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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