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General NPI Number Information
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NPI Number | 1760478523
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Entity Type | Individual
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Provider Name | RONALD S DUBIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 705 N 12TH STREET STE 100
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City | MIDDLESBORO
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State | KY
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Zip | 40965-1835
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Country | US
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Telephone | 606-248-0050
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Fax | 606-248-8711
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Provider Business Mailing Address
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Address Line | PO BOX 2897 705 N 12TH STREET STE 100
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City | MIDDLESBORO
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State | KY
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Zip | 40965-1835
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Country | US
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Telephone | 606-248-0050
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Fax | 606-248-8711
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25458
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License Number State | KY
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