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General NPI Number Information
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NPI Number | 1700996451
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Entity Type | Individual
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Provider Name | LESTER A RUPPERSBERGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 222 SHADY BROOK DR
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City | LANGHORNE
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State | PA
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Zip | 19047-8029
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Country | US
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Telephone | 215-750-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 222 SHADY BROOK DRIVE
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City | LANGHORNE
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State | PA
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Zip | 19047-8029
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Country | US
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Telephone | 215-680-0141
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS003291L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0S-003291-L
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License Number State | PA
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