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General NPI Number Information
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NPI Number | 1801281431
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Entity Type | Individual
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Provider Name | PHILIP RUBIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 4 KEWANEE RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-1324
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Country | US
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Telephone | 914-235-4388
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Fax | 914-632-0032
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Provider Business Mailing Address
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Address Line | 4 KEWANEE RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-1324
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Country | US
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Telephone | 914-235-4388
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Fax | 914-632-0032
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 187564
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License Number State | NY
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