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General NPI Number Information
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NPI Number | 1821151747
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Entity Type | Individual
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Provider Name | ROBIN MICHELLE RUBELL MD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 345 E 37TH ST SUITE #307
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City | NEW YORK
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State | NY
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Zip | 10016-3256
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Country | US
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Telephone | 212-532-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 203 E 72ND ST APT 8B
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City | NEW YORK
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State | NY
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Zip | 10021-4562
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Country | US
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Telephone | 917-209-0108
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 231240
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License Number State | NY
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