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General NPI Number Information
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NPI Number | 1104140300
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Entity Type | Organization
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Legal Business Name | RICHARD E RUBIN MD PC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-6442
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD E RUBIN
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Credential | MD
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Telephone | 301-654-6442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD13332
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0021154
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License Number State | MD
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