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General NPI Number Information
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NPI Number | 1790905610
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Entity Type | Organization
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Legal Business Name | JAMES P RUBEL
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 209 STATESVILLE BLVD
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City | SALISBURY
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State | NC
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Zip | 28144-2313
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Country | US
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Telephone | 704-630-6789
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Fax | 828-326-9391
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Provider Business Mailing Address
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Address Line | PO BOX 9526
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City | HICKORY
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State | NC
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Zip | 28603-9526
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Country | US
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Telephone | 828-326-7161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES P RUBEL
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Credential | CPO
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Telephone | 828-326-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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