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General NPI Number Information
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NPI Number | 1790771996
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Entity Type | Individual
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Provider Name | ASHUTOSH H RUPARELIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 2 ASCOT PLACE
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City | ITHICA
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State | NY
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Zip | 14850-1072
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Country | US
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Telephone | 607-266-0772
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Fax | 607-266-0176
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Provider Business Mailing Address
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Address Line | 2 ASCOT PLACE
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City | ITHICA
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State | NY
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Zip | 14850-1072
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Country | US
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Telephone | 607-266-0772
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Fax | 607-266-0176
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 2044981
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License Number State | NY
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