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General NPI Number Information
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NPI Number | 1427853084
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Entity Type | Organization
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Legal Business Name | ASHER RUBINOV DENTAL LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9442 58TH AVE UNIT G2
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City | ELMHURST
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State | NY
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Zip | 11373-5149
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Country | US
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Telephone | 718-699-4660
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Fax | 718-699-4694
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Provider Business Mailing Address
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Address Line | 6254 97TH PL APT 11D
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City | REGO PARK
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State | NY
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Zip | 11374-1348
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Country | US
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Telephone | 646-431-8070
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ASHER RUBINOV
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Credential | DDS
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Telephone | 646-431-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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