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General NPI Number Information
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NPI Number | 1346348208
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Entity Type | Organization
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Legal Business Name | BONNIE RUBIN AUDIOLOGY OF RYE RIDGE, PLLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 118 S RIDGE ST SUITE 4
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City | RYE BROOK
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State | NY
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Zip | 10573-2825
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Country | US
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Telephone | 914-935-3292
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Fax | 914-935-3294
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Provider Business Mailing Address
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Address Line | 118 S RIDGE ST SUITE 4
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City | RYE BROOK
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State | NY
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Zip | 10573-2825
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Country | US
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Telephone | 914-935-3292
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Fax | 914-935-3294
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. BONNIE RENEE RUBIN
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Credential | AU.D.
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Telephone | 914-935-3292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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