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General NPI Number Information
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NPI Number | 1609274653
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Entity Type | Individual
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Provider Name | STEVE RUBIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 6810 NORTH STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073
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Country | US
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Telephone | 561-843-5362
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Fax |
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Provider Business Mailing Address
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Address Line | 6810 NORTH STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073
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Country | US
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Telephone | 561-843-5362
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ISW8377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13356
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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