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General NPI Number Information
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NPI Number | 1740770890
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Entity Type | Individual
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Provider Name | DR. MICHAEL RUBINSON
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Gender | Male
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 3322 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5185
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Country | US
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Telephone | 404-712-8979
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5185
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Country | US
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Telephone | 215-707-1800
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 95658
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 75345
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | OS024608
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License Number State | PA
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