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General NPI Number Information
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NPI Number | 1285633016
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Entity Type | Individual
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Provider Name | RENE R RUBIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 207 N BROAD ST 6TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1500
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Country | US
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Telephone | 215-561-0809
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Fax | 215-561-0828
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Provider Business Mailing Address
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Address Line | 20 EXPEDITION TRL STE 101
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City | GETTYSBURG
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State | PA
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Zip | 17325-8599
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Country | US
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Telephone | 717-334-4033
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Fax | 717-334-5599
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | M0031135E
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License Number State | PA
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