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General NPI Number Information
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NPI Number | 1912004383
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Entity Type | Individual
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Provider Name | JOHN M. RUBENSTRUNK D.D.S.,M.S
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 9094 E. MINERAL AVE. #240
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City | CENTENNIAL
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State | CO
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Zip | 80112-7200
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Country | US
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Telephone | 303-799-1872
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Fax | 303-799-3760
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Provider Business Mailing Address
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Address Line | 9094 E. MINERAL AVE. #240
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City | CENTENNIAL
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State | CO
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Zip | 80112-7200
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Country | US
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Telephone | 303-799-1872
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Fax | 303-799-3760
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8110
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License Number State | CO
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