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General NPI Number Information
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NPI Number | 1831437664
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Entity Type | Organization
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Legal Business Name | RULLO TRADING COMPANY
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 7143 69TH ST
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City | GLENDALE
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State | NY
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Zip | 11385-7236
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Country | US
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Telephone | 347-298-9087
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Fax | 347-599-0618
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Provider Business Mailing Address
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Address Line | 7812 84TH ST
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City | GLENDALE
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State | NY
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Zip | 11385-7611
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Country | US
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Telephone | 917-842-3294
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Fax | 347-599-0618
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ANTONIO RULLO
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Credential |
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Telephone | 917-842-3294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #4
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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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