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General NPI Number Information
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NPI Number | 1427471903
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Entity Type | Individual
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Provider Name | STEPHEN DOUGLAS RUBIN MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 1250 S COLLEGEVILLE RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-2990
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Country | US
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Telephone | 484-620-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 14 BRIDLE PATH
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City | SOUTHAMPTON
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State | NJ
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Zip | 08088-2815
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Country | US
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Telephone | 484-620-9545
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD034245E
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License Number State | PA
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