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General NPI Number Information
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NPI Number | 1164667937
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Entity Type | Individual
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Provider Name | SHARON F RUBIN PA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 55 E 52ND ST
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City | NEW YORK
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State | NY
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Zip | 10055-0002
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Country | US
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Telephone | 646-310-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 293 ROBIN RD
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4327
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Country | US
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Telephone | 516-946-5987
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 004505-01
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License Number State | NY
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