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General NPI Number Information
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NPI Number | 1265600696
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Entity Type | Individual
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Provider Name | TRACEY ANN STREIFF RUBIN MSN, APN-C
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Gender | Female
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 437 E STATE ST
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City | TRENTON
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State | NJ
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Zip | 08608-1501
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Country | US
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Telephone | 609-599-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 23 SANDY RUN RD
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City | YARDLEY
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State | PA
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Zip | 19067-2912
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Country | US
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Telephone | 734-395-5330
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00150100
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License Number State | NJ
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