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General NPI Number Information
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NPI Number | 1831791144
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Entity Type | Individual
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Provider Name | JULIA RUBINOV
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 6860 AUSTIN ST STE 306
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City | FOREST HILLS
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State | NY
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Zip | 11375-4223
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Country | US
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Telephone | 516-858-3959
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 E 72ND ST
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City | BROOKLYN
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State | NY
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Zip | 11234-5817
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Country | US
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Telephone | 646-943-0531
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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