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General NPI Number Information
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NPI Number | 1346926888
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Entity Type | Individual
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Provider Name | HARLEY RUBIN
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Gender | Male
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 25101 CHAGRIN BLVD STE 100&200
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City | BEACHWOOD
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State | OH
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Zip | 44122-5643
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Country | US
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Telephone | 216-831-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 2768 LANCASHIRE RD APT 3A
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-2576
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Country | US
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Telephone | 443-695-5469
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2410803
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License Number State | OH
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