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General NPI Number Information
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NPI Number | 1225178288
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Entity Type | Individual
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Provider Name | STEVEN KURT RUBISCH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1460 S AVENUE B
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City | YUMA
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State | AZ
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Zip | 85364-4332
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Country | US
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Telephone | 928-344-3067
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Fax | 928-782-2323
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Provider Business Mailing Address
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Address Line | 4170 W 16TH PL
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City | YUMA
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State | AZ
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Zip | 85364-3479
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Country | US
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Telephone | 928-329-9885
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D3139
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License Number State | AZ
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