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General NPI Number Information
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NPI Number | 1881864825
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Entity Type | Individual
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Provider Name | ABE RUTMAN BS
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Gender | Male
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 575 MAIN ST
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City | ARMONK
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State | NY
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Zip | 10504-1891
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Country | US
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Telephone | 914-765-0600
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Fax | 914-765-0188
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Provider Business Mailing Address
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Address Line | 1643 OCEAN BLVD
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City | ATLANTIC BEACH
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State | NY
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Zip | 11509-1596
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Country | US
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Telephone | 917-885-6214
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Fax | 914-765-0600
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 028123
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28123
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License Number State | NY
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