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General NPI Number Information
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NPI Number | 1326619008
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Entity Type | Organization
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Legal Business Name | RUBBYN LLC
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 07/05/2021
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Provider Practice Location Address
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Address Line | 24850 GREEN VALLEY ST
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3253
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Country | US
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Telephone | 248-890-5716
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Fax |
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Provider Business Mailing Address
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Address Line | 24850 GREEN VALLEY ST
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3253
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Country | US
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Telephone | 248-890-5716
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | RUBBY NWONYE
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Credential | MBA, RHIT
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Telephone | 248-890-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247000000X
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Taxonomy Name | Health Information Technician
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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