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General NPI Number Information
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NPI Number | 1962873737
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Entity Type | Organization
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Legal Business Name | RUBIN NICHOLS DDS INC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 1031 E AMAR RD
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City | WEST COVINA
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State | CA
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Zip | 91792-1340
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Country | US
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Telephone | 626-330-6655
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Fax | 626-333-4666
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Provider Business Mailing Address
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Address Line | 1031 E AMAR RD
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City | WEST COVINA
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State | CA
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Zip | 91792-1340
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Country | US
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Telephone | 626-330-6655
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Fax | 626-333-4666
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUBIN NICHOLS
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Credential | DDS
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Telephone | 626-330-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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