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General NPI Number Information
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NPI Number | 1881722635
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Entity Type | Individual
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Provider Name | JEFFREY FRANCIS RUTLEDGE DMD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 2323 PENNSYLVANIA AVE
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City | WILMINGTON
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State | DE
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Zip | 19806-1332
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Country | US
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Telephone | 302-482-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SPECTRUM DR
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City | NEWARK
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State | DE
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Zip | 19713-3075
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Country | US
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Telephone | 302-737-1333
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | G10001241
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License Number State | DE
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