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General NPI Number Information
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NPI Number | 1174341770
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Entity Type | Individual
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Provider Name | MS. NORA RUBOVITZ
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 181 MAIN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-6918
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Country | US
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Telephone | 631-335-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 110 WEYFORD TER
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City | GARDEN CITY
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State | NY
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Zip | 11530-2514
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Country | US
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Telephone | 516-238-8762
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 094642
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License Number State | NY
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