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General NPI Number Information
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NPI Number | 1982419602
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Entity Type | Organization
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Legal Business Name | BULLDOG MEDICAL PLLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 8303 GRAHAM PATRICK AVE
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City | BRANDYWINE
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State | MD
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Zip | 20613-2015
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Country | US
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Telephone | 301-244-9445
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 GRAHAM PATRICK AVE
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City | BRANDYWINE
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State | MD
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Zip | 20613-2015
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Country | US
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Telephone | 317-435-2799
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. STEPHEN E RUBENSTEIN
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Credential | MD
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Telephone | 317-435-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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