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General NPI Number Information
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NPI Number | 1942974316
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Entity Type | Individual
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Provider Name | AVRAKHAM RUBINOV NP
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Gender | Male
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 19805 EPSOM CRSE
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City | HOLLIS
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State | NY
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Zip | 11423-1301
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Country | US
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Telephone | 718-350-6381
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Fax | 929-744-7772
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Provider Business Mailing Address
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Address Line | 19805 EPSOM CRSE
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City | HOLLIS
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State | NY
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Zip | 11423-1301
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Country | US
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Telephone | 718-350-6381
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Fax | 929-744-7772
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 310309
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License Number State | NY
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