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General NPI Number Information
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NPI Number | 1083044804
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Entity Type | Individual
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Provider Name | ARLENE RUTH KUBIT D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 3703 OLD FRENCH RD
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City | ERIE
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State | PA
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Zip | 16504-1629
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Country | US
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Telephone | 814-825-7373
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Fax | 314-814-0016
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Provider Business Mailing Address
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Address Line | 3703 OLD FRENCH RD
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City | ERIE
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State | PA
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Zip | 16504-1629
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Country | US
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Telephone |
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Fax | 314-814-0016
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS024928-L
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License Number State | PA
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