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General NPI Number Information
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NPI Number | 1932346004
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Entity Type | Individual
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Provider Name | SEBASTIAN DIMINIK SCHUBL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-880-7812
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Fax |
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Provider Business Mailing Address
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Address Line | 435 E 70TH ST APT 5J
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City | NEW YORK
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State | NY
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Zip | 10021-5342
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Country | US
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Telephone | 718-514-1190
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 242916-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | C142154
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License Number State | CA
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