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General NPI Number Information
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NPI Number | 1275353492
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Entity Type | Individual
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Provider Name | ROBERT PHILLIP RUBENS MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 520 ROSE LN
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City | WICKENBURG
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State | AZ
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Zip | 85390-1447
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Country | US
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Telephone | 928-684-4360
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Fax | 928-684-5081
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Provider Business Mailing Address
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Address Line | 3221 BUCKAROO CT
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City | WICKENBURG
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State | AZ
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Zip | 85390-4524
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Country | US
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Telephone | 203-570-4577
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 29767
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License Number State | AZ
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