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General NPI Number Information
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NPI Number | 1154526093
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Entity Type | Individual
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Provider Name | ROEE ELAN RUBINSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 400 S REINO RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-4285
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Country | US
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Telephone | 805-379-9353
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Fax | 805-379-4494
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Provider Business Mailing Address
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Address Line | 400 S REINO RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-4285
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Country | US
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Telephone | 805-379-9353
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Fax | 805-379-4494
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A112132
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | A112132
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | A112132
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License Number State | CA
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