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NPI Code Detail

MEDICARE: MRS. DARCY DEBORAH RUBEL LMP

MEDICARE:  MRS. DARCY DEBORAH RUBEL  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerMA00019520WA

General Provider Information

NPI Number : 1538340179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARCY DEBORAH RUBEL LMP
Provider Business Mailing Address
First Line : 1220 10TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-4324
Country : US
Telephone Number : 206-271-3485
Fax Number :
Provider Business Practice Location Address
First Line : 1220 10TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-4324
Country : US
Telephone Number : 206-271-3485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 11/26/2007

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Directions to “ MRS. DARCY DEBORAH RUBEL LMP” Practice Location

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