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General NPI Number Information
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NPI Number | 1396701231
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Entity Type | Organization
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Legal Business Name | RUB PEDIATRICS MD PA
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD SUITE 308
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City | AVENTURA
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State | FL
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Zip | 33180-1227
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Country | US
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Telephone | 305-932-1007
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Fax | 305-696-6225
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD SUITE 308
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City | AVENTURA
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State | FL
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Zip | 33180-1227
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Country | US
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Telephone | 305-932-1007
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Fax | 305-696-6225
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JANET NEUSCHATZ
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Credential | BBA
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Telephone | 305-932-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME54702
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME55002
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License Number State | FL
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