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General NPI Number Information
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NPI Number | 1235239740
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Entity Type | Individual
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Provider Name | SALLY J RUBENSTONE MD
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4153 EL CAMINO WAY STE B
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City | PALO ALTO
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State | CA
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Zip | 94306-4034
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Country | US
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Telephone | 650-857-0226
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Fax | 650-857-0264
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Provider Business Mailing Address
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Address Line | 240 MONROE DR #401
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-1067
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Country | US
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Telephone | 650-947-6716
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Fax | 650-857-0264
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G53652
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License Number State | CA
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