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General NPI Number Information
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NPI Number | 1306000278
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Entity Type | Individual
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Provider Name | LINDA FLYNTZ RUBIN MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 1 EUGENE L BROWN DR
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City | NEW PALTZ
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State | NY
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Zip | 12561-3942
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Country | US
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Telephone | 845-255-4274
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 207
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City | BOICEVILLE
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State | NY
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Zip | 12412-0207
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Country | US
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Telephone | 845-657-4305
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 010636-1
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License Number State | NY
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