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General NPI Number Information
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NPI Number | 1679295299
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Entity Type | Organization
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Legal Business Name | VITA CHIROPRACTIC M RUBINO DC INC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 27600 BOUQUET CANYON RD STE 106
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3715
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Country | US
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Telephone | 661-296-2131
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Fax | 661-296-0478
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Provider Business Mailing Address
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Address Line | 27600 BOUQUET CANYON RD STE 106
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3715
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Country | US
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Telephone | 661-296-2131
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Fax | 661-296-0478
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MICHELANGELO RUBINO
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Credential | DC
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Telephone | 661-296-2131
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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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