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General NPI Number Information
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NPI Number | 1871906404
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Entity Type | Individual
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Provider Name | JENNIFER ANNE RUBI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 303
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 808-650-9073
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Fax | 808-378-3690
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Provider Business Mailing Address
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Address Line | 111 HEKILI ST STE A174
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City | KAILUA
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State | HI
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Zip | 96734-2800
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Country | US
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Telephone | 808-650-9073
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Fax | 808-378-3690
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 037712-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-4658
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License Number State | HI
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