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General NPI Number Information
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NPI Number | 1447925623
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Entity Type | Organization
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Legal Business Name | DANIEL RUBIN MEDICAL
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 14888 TAMIAMI TRL
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City | NORTH PORT
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State | FL
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Zip | 34287-2701
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Country | US
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Telephone | 941-549-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 3690 GIBLIN DR
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City | NORTH PORT
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State | FL
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Zip | 34286-6636
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Country | US
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Telephone | 941-713-8159
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL ISAAC RUBIN
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Credential | DC
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Telephone | 941-713-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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