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General NPI Number Information
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NPI Number | 1831160837
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Entity Type | Individual
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Provider Name | LISA ANN RUML M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 400 W BLACKWELL ST
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City | DOVER
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State | NJ
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Zip | 07801-2525
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Country | US
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Telephone | 973-989-3085
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GROVER RD
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City | DOVER
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State | NJ
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Zip | 07801-2506
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Country | US
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Telephone | 973-876-5260
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA67110
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06711000
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License Number State | NJ
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