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General NPI Number Information
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NPI Number | 1427050285
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Entity Type | Individual
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Provider Name | MICHAEL A RUBIN MD
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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 | 06/20/2025
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Provider Practice Location Address
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Address Line | 4100 SION FARM SHOPP CTR STE 8
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City | CHRISTIANSTED
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State | VI
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Zip | 00820-4433
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Country | US
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Telephone | 340-208-0910
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Fax | 901-206-2216
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Provider Business Mailing Address
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Address Line | 8989 FOREST HILL IRENE CV
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City | GERMANTOWN
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State | TN
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Zip | 38139-6619
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Country | US
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Telephone | 901-517-4048
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Fax | 901-206-2216
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2603
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License Number State | VI
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