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NPI 1588608400

NPI 1588608400 : STEVEN J RUBIN DC : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1588608400
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN J RUBIN DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/15/2006
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    Last Update Date     |    10/30/2020
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Provider Practice Location Address
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    Address Line         |    1001 N ELM ST 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1423
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    Country              |    US
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    Telephone            |    336-275-0836
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    Fax                  |    336-275-5597
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Provider Business Mailing Address
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    Address Line         |    1001 N ELM ST 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1423
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    Country              |    US
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    Telephone            |    336-275-0836
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    Fax                  |    336-275-5597
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2296
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    License Number State |    NC
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