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General NPI Number Information
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NPI Number | 1265792899
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Entity Type | Organization
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Legal Business Name | JEFFREY REUBEN, MD, PA
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 4126 SOUTHWEST FWY SUITE 700
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City | HOUSTON
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State | TX
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Zip | 77027-7310
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Country | US
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Telephone | 713-521-7870
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Fax | 713-521-7919
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Provider Business Mailing Address
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Address Line | PO BOX 770248
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City | HOUSTON
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State | TX
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Zip | 77215-0248
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Country | US
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Telephone | 713-521-7870
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Fax | 713-521-7919
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY REUBEN
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Credential | MD, PHD
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Telephone | 713-521-7870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | H3152
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License Number State | TX
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