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General NPI Number Information
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NPI Number | 1316111479
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Entity Type | Organization
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Legal Business Name | DOCTOR HOWARD L DUBIN PC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 27483 DEQUINDRE RD SUITE 205
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3491
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Country | US
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Telephone | 248-548-9860
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Fax | 248-548-6278
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Provider Business Mailing Address
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Address Line | 27483 DEQUINDRE RD SUITE 205
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3491
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Country | US
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Telephone | 248-548-9860
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Fax | 248-548-6278
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Authorized Official
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Title or Position | OWNER
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Name | HOWARD DUBIN
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Credential | DO
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Telephone | 248-548-9860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | HD005576
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License Number State | MI
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