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General NPI Number Information
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NPI Number | 1699957464
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Entity Type | Organization
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Legal Business Name | RUBINO BACK & NECK CARE CENTER, P.C.
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 393 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-5013
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Country | US
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Telephone | 203-933-9404
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Fax | 203-933-0272
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Provider Business Mailing Address
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Address Line | 393 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-5013
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Country | US
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Telephone | 203-933-9404
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Fax | 203-933-0272
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT HOWARD RUBINO JR.
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Credential | D.C.
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Telephone | 203-933-9404
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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 | 000609
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License Number State | CT
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