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General NPI Number Information
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NPI Number | 1447573902
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Entity Type | Organization
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Legal Business Name | DR. RICK J RUBIN, D.M.D. PC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 213 BULIFANTS BLVD SUITE E
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5733
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Country | US
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Telephone | 757-345-5500
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Fax | 757-345-3381
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Provider Business Mailing Address
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Address Line | 213 BULIFANTS BLVD SUITE E
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5733
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Country | US
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Telephone | 757-345-5500
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Fax | 757-345-3381
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICK J RUBIN
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Credential | D.M.D
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Telephone | 757-345-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401411453
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License Number State | VA
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