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General NPI Number Information
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NPI Number | 1245324359
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Entity Type | Individual
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Provider Name | JONATHON AARON RUBIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 700 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4721
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Country | US
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Telephone | 516-663-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 700 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4721
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 231751
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301091453
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 231751
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 046504
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 231751
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License Number State | NY
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