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General NPI Number Information
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NPI Number | 1457656753
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Entity Type | Organization
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Legal Business Name | HOWARD S LUBIN DO LLC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 100 S EAGLE RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-3202
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Country | US
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Telephone | 610-789-4464
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Fax | 610-789-7421
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Provider Business Mailing Address
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Address Line | 100 S EAGLE RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-3202
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Country | US
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Telephone | 610-789-4464
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Fax | 610-789-7421
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. HOWARD S LUBIN
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Credential | D.O.
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Telephone | 610-789-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS00047OL
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License Number State | PA
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