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General NPI Number Information
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NPI Number | 1437888088
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Entity Type | Organization
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Legal Business Name | LAWRENCE I RUBIN DPM, INC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 20911 EARL ST STE 290
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City | TORRANCE
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State | CA
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Zip | 90503-4354
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Country | US
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Telephone | 310-792-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 W REDONDO BEACH BLVD STE 106
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City | GARDENA
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State | CA
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Zip | 90247-4276
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Country | US
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Telephone | 310-323-2887
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELLY YU
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Credential | DPM
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Telephone | 310-323-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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