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General NPI Number Information
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NPI Number | 1285738567
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Entity Type | Organization
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Legal Business Name | LAD E RUBAUM MD INC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14860 ROSCOE BLVD NO 305
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-901-1535
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Fax | 818-901-0046
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Provider Business Mailing Address
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Address Line | 14860 ROSCOE BLVD NO 305
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-901-1535
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Fax | 818-901-0046
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | LAD E RUBAUM
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Credential |
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Telephone | 818-901-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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