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General NPI Number Information
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NPI Number | 1942283486
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Entity Type | Individual
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Provider Name | JAMES R. RUBINSAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 901 TAMIAMI TRL S
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City | VENICE
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State | FL
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Zip | 34285-3668
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Country | US
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Telephone | 941-484-3531
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Fax | 941-486-1701
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Provider Business Mailing Address
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Address Line | 4371 VERONICA S SHOEMAKER BLVD
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City | FORT MYERS
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State | FL
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Zip | 33916-2216
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Country | US
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Telephone | 239-274-8200
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Fax | 239-278-3350
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME45690
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License Number State | FL
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