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General NPI Number Information
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NPI Number | 1396747093
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Entity Type | Individual
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Provider Name | SIDNEY DAVID RUBINOW D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 740 NEBULA CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-0905
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Country | US
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Telephone | 719-475-8994
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Fax | 719-575-9930
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Provider Business Mailing Address
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Address Line | 740 NEBULA CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-0905
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Country | US
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Telephone | 719-475-8994
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Fax | 719-575-9930
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25275
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License Number State | CO
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