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General NPI Number Information
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NPI Number | 1588705628
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Entity Type | Individual
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Provider Name | WILLIAM JAY RHEUBAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 910 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4850
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Country | US
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Telephone | 434-296-2877
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Fax |
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Provider Business Mailing Address
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Address Line | 910 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4850
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Country | US
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Telephone | 434-296-2877
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101025950
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License Number State | VA
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