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General NPI Number Information
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NPI Number | 1235360546
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Entity Type | Organization
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Legal Business Name | PETER A.D. RUBIN, M.D., P.A.
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 3401 PGA BLVD STE 430
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2825
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Country | US
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Telephone | 561-729-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 PGA BLVD STE 430
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2825
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Country | US
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Telephone | 561-729-7771
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Fax | 561-491-5507
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER A.D. RUBIN
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Credential | M.D.
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Telephone | 561-729-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 71471
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME 103339
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License Number State | FL
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