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General NPI Number Information
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NPI Number | 1114904380
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Entity Type | Individual
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Provider Name | CARLEEN M RUBEL ACNP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 3799 VENETIAN WAY
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City | NEWBURGH
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State | IN
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Zip | 47630-8278
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Country | US
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Telephone | 812-471-4302
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Fax | 812-471-4303
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-473-5822
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 71002035A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71002035A
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License Number State | IN
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