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General NPI Number Information
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NPI Number | 1811491392
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Entity Type | Individual
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Provider Name | CHRISTINE JEANNE RUBEIZ MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 7150 CLEARVISTA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1695
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Country | US
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Telephone | 317-621-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone |
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Fax |
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 01090123A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 01090123A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01090123A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01090123A
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License Number State | IN
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