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General NPI Number Information
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NPI Number | 1508834706
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Entity Type | Individual
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Provider Name | EDWARD LUBIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 2333 W HILLSBOROUGH AVE STE 100
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City | TAMPA
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State | FL
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Zip | 33603-1052
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Country | US
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Telephone | 727-547-4700
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Fax | 727-394-8661
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Provider Business Mailing Address
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Address Line | 2333 W HILLSBOROUGH AVE STE 100
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City | TAMPA
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State | FL
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Zip | 33603-1052
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Country | US
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Telephone | 813-872-4492
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME83445
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME83445
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License Number State | FL
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