MEDICARE: DR. DOROTHY S RUPLEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	C03861-4B	NY

General Provider Information

NPI Number	:	1225163553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOROTHY S RUPLEY DC

Provider Business Mailing Address
First Line	:	8054 NEWCO DR
Second Line	:
City	:	HAMLIN
State	:	NY
Zip	:	14464-9727
Country	:	US
Telephone Number	:	585-704-4419
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 LAKE RD
Second Line	:	SUITE 4
City	:	HAMLIN
State	:	NY
Zip	:	14464-9590
Country	:	US
Telephone Number	:	585-964-7790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/09/2007

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