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General NPI Number Information
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NPI Number | 1992148084
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Entity Type | Individual
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Provider Name | RICHARD L RUDOLPH MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 5833 STONEY HILL RD
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City | NEW HOPE
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State | PA
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Zip | 18938-5434
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Country | US
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Telephone | 267-544-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 5833 STONEY HILL RD
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City | NEW HOPE
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State | PA
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Zip | 18938-5434
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Country | US
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Telephone | 267-544-0449
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD023177E
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License Number State | PA
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