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General NPI Number Information
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NPI Number | 1497216097
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Entity Type | Individual
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Provider Name | JASON MARC RUBENSTEIN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 198 SPRING ST
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City | ROCKLAND
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State | MA
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Zip | 02370-2667
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Country | US
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Telephone | 781-878-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 83 COLONELS DR APT 26
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City | WEYMOUTH
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State | MA
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Zip | 02189-2460
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Country | US
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Telephone | 201-522-9793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PTL27455
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License Number State | MA
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