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General NPI Number Information
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NPI Number | 1326216979
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Entity Type | Organization
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Legal Business Name | DAVID LUBIN PHD
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 440 SAWGRASS CORPORATE PKWY
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City | SUNRISE
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State | FL
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Zip | 33325-6244
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Country | US
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Telephone | 954-745-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 381 SW 190TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-5443
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID LUBIN
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Credential | PH.D., BCBA
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Telephone | 954-560-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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