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General NPI Number Information
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NPI Number | 1508945262
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Entity Type | Individual
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Provider Name | LOANNE RUBE PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5150 GRAVES AVE SUITE 11 D
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City | SAN JOSE
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State | CA
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Zip | 95129-5013
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Country | US
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Telephone | 408-253-4211
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Fax | 408-253-0915
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Provider Business Mailing Address
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Address Line | 10439 N BLANEY AVE
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City | CUPERTINO
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State | CA
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Zip | 95014-2333
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Country | US
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Telephone | 408-257-7063
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9612
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License Number State | CA
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