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General NPI Number Information
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NPI Number | 1649322389
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Entity Type | Organization
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Legal Business Name | BURT H RUBIN
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 183 WOODLAND RD
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City | HAMPTON
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State | VA
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Zip | 23663
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Country | US
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Telephone | 757-723-3893
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Fax | 757-723-8669
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Provider Business Mailing Address
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Address Line | 183 WOODLAND RD
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City | HAMPTON
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State | VA
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Zip | 23663
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Country | US
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Telephone | 757-723-3893
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Fax | 757-723-8669
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Authorized Official
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Title or Position | OWNER
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Name | BURT H RUBIN
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Credential | DC
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Telephone | 757-723-3893
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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