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General NPI Number Information
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NPI Number | 1619783545
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Entity Type | Individual
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Provider Name | MR. CORY J RUBECK
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Gender | Male
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 23293 COMMERCE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-5808
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Country | US
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Telephone | 216-292-7170
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Fax |
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Provider Business Mailing Address
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Address Line | 25118 BRIDGETON DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-1710
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Country | US
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Telephone | 917-750-8010
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 11844
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License Number State | OH
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