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General NPI Number Information
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NPI Number | 1710174503
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Entity Type | Organization
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Legal Business Name | HOWARD J. RUDNICK M.D., P.A.
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 5162 LINTON BLVD SUITE 204
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6567
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Country | US
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Telephone | 561-496-3100
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Fax | 561-496-0183
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Provider Business Mailing Address
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Address Line | 3111 SW 10TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4828
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Country | US
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Telephone | 561-496-3100
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Fax | 561-496-0183
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD J RUDNICK
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Credential | M.D.
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Telephone | 561-496-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0038790
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License Number State | FL
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