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NPI 1891546578

NPI 1891546578 : EVAN RUBENSTEEN DMD PA : MIAMI BEACH, FL

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General NPI Number Information
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    NPI Number           |    1891546578
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVAN RUBENSTEEN DMD PA 
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Dates
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    Enumeration Date     |    03/29/2024
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    Last Update Date     |    03/29/2024
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Provider Practice Location Address
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    Address Line         |    939 ARTHUR GODFREY RD 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140-3306
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    Country              |    US
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    Telephone            |    305-672-2260
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    Fax                  |    206-600-6861
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Provider Business Mailing Address
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    Address Line         |    939 ARTHUR GODFREY RD 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140-3306
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    Country              |    US
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    Telephone            |    305-672-2260
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    Fax                  |    206-600-6861
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Authorized Official
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    Title or Position    |    ORTHODONTIST
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    Name                 |     EVAN  RUBENSTEEN 
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    Credential           |    DMD
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    Telephone            |    305-672-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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