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General NPI Number Information
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NPI Number | 1780778019
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Entity Type | Individual
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Provider Name | DAVID A RUBIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 750 OLD HICKORY BLVD STE 1-260
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City | BRENTWOOD
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State | TN
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Zip | 37027-4528
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Country | US
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Telephone | 615-376-7500
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Fax | 615-376-7575
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Provider Business Mailing Address
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Address Line | 151 LAFAYETTE DR STE 401
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City | OAK RIDGE
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State | TN
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Zip | 37830-6864
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Country | US
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Telephone | 888-343-6337
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Fax | 658-481-0921
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 115274
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License Number State | MO
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