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General NPI Number Information
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NPI Number | 1881379535
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Entity Type | Individual
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Provider Name | DAVID I RULNICK PAC
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Gender | Male
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST STE 514
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2903
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Country | US
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Telephone | 866-553-0612
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Fax |
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Provider Business Mailing Address
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Address Line | NJ SPINE AND ORTHOPEDIC 1200 US-22 #14
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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Country | US
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Telephone | 732-844-6230
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Fax | 732-441-7165
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00785400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA064519
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License Number State | PA
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