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General NPI Number Information
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NPI Number | 1972915106
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Entity Type | Individual
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Provider Name | BRANDY RUBINSKI DMD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 06/17/2018
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Provider Practice Location Address
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Address Line | 8430 ENTERPRISE CIR STE 100
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-907-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 11562 11TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34212-2501
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Country | US
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Telephone | 239-872-8387
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62738
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN20051
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License Number State | FL
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