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General NPI Number Information
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NPI Number | 1841381365
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Entity Type | Individual
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Provider Name | HARVEY RUBIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 779 MARIGOLD CT
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3807
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Country | US
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Telephone | 412-275-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 779 MARIGOLD CT
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3807
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Country | US
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Telephone | 412-275-3288
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD009743E
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License Number State | PW
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MD009743E
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License Number State | PA
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