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NPI 1730387218

NPI 1730387218 : LEAH R LUBIN LIC. AP : LAND O LAKES, FL

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General NPI Number Information
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    NPI Number           |    1730387218
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH R LUBIN LIC. AP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3016 LAND O LAKES BLVD 
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    City                 |    LAND O LAKES
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    State                |    FL
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    Zip                  |    34639-4918
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    Country              |    US
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    Telephone            |    813-909-7376
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    Fax                  |    813-949-8481
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Provider Business Mailing Address
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    Address Line         |    13314 THOMASVILLE CIR APT C 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33617-9545
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    Country              |    US
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    Telephone            |    813-245-5649
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AP2358
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    License Number State |    FL
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