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General NPI Number Information
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NPI Number | 1275706756
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Entity Type | Individual
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Provider Name | BECKY SUZZANNE RUBIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 1004 SOUTH ROCK STREET WESTLAKE ANESTHESIA GROUP, PA
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City | GEORGETOWN
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State | TX
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Zip | 78626
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Country | US
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Telephone | 512-279-0348
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Fax | 512-371-8788
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Provider Business Mailing Address
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Address Line | 1004 SOUTH ROCK STREET WESTLAKE ANESTHESIA GROUP, PA
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City | GEORGETOWN
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State | TX
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Zip | 78626
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Country | US
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Telephone | 512-279-0348
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Fax | 512-371-8788
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 639142
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 080884
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP122966
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 227332
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License Number State | NC
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