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General NPI Number Information
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NPI Number | 1760825962
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Entity Type | Organization
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Legal Business Name | R RUBINSTEIN MD INC
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 400 S REINO RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-4285
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Country | US
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Telephone | 805-379-9353
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Fax | 805-379-4494
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Provider Business Mailing Address
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Address Line | 400 S REINO RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-4285
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Country | US
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Telephone | 805-379-9353
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Fax | 805-379-4494
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Authorized Official
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Title or Position | MD
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Name | ROEE E RUBINSTEIN
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Credential |
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Telephone | 805-379-9353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | A112132
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License Number State | CA
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