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General NPI Number Information
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NPI Number | 1760602379
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Entity Type | Organization
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Legal Business Name | THE RUBIN HEART CENTER, PLLC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 6644 SUMMER KNOLL CIR
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City | BARTLETT
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State | TN
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Zip | 38134-2875
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Country | US
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Telephone | 901-761-9092
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Fax | 901-761-9047
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Provider Business Mailing Address
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Address Line | 6644 SUMMER KNOLL CIR
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City | BARTLETT
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State | TN
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Zip | 38134-2875
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Country | US
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Telephone | 901-761-9092
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Fax | 901-761-9047
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL A RUBIN
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Credential | M.D.
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Telephone | 901-761-9092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 30943
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16442
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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