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NPI 1710520614

NPI 1710520614 : TONYA RUBIN PA-C : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1710520614
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    Entity Type          |    Individual 
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    Provider Name        |    TONYA RUBIN PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2019
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    1259 S CEDAR CREST BLVD STE 100 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18103-6373
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    Country              |    US
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    Telephone            |    610-437-4134
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    Fax                  |    610-433-9690
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Provider Business Mailing Address
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    Address Line         |    5354 HAMILTON BLVD 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18106-9775
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    Country              |    US
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    Telephone            |    
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    MA061125
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    License Number State |    PA
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