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NPI Code Detail

MEDICARE: RUBI N ESCOBAR

MEDICARE:   RUBI N ESCOBAR
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLIAC-155348AZ

General Provider Information

NPI Number : 1659199099
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBI N ESCOBAR
Provider Business Mailing Address
First Line : 4601 E FORT LOWELL RD STE 131
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1183
Country : US
Telephone Number : 520-396-4413
Fax Number : 520-396-4764
Provider Business Practice Location Address
First Line : 4601 E FORT LOWELL RD STE 131
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1183
Country : US
Telephone Number : 520-396-4413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 02/19/2026

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Directions to “ RUBI N ESCOBAR ” Practice Location

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