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General NPI Number Information
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NPI Number | 1780804252
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Entity Type | Organization
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Legal Business Name | CRAIG H. RUBINOFF, DDS, MS, APC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 13035 POMERADO RD SUITE A
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City | POWAY
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State | CA
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Zip | 92064-4247
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Country | US
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Telephone | 858-486-4867
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Fax | 858-466-4866
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Provider Business Mailing Address
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Address Line | 13035 POMERADO RD SUITE A
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City | POWAY
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State | CA
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Zip | 92064-4247
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Country | US
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Telephone | 858-486-4867
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Fax | 858-466-4866
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG H RUBINOFF
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Credential | DDS, MS
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Telephone | 858-486-4867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 35327
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License Number State | CA
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