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Individual
DR. JOHN G RUPOLO
Active
Individual
DR. JOHN G RUPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1883X-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X01701
BLUE CROSS
NY
Enumeration date
10/19/2006
Last updated
11/13/2009
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