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General NPI Number Information
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NPI Number | 1033391768
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Entity Type | Organization
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Legal Business Name | MARK P RUBINO MD LLC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1441 RIDGE ST
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City | NAPLES
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State | FL
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Zip | 34103-4211
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Country | US
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Telephone | 239-261-6876
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Fax | 239-643-4969
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Provider Business Mailing Address
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Address Line | 848 1ST AVE N STE 340
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City | NAPLES
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State | FL
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Zip | 34102-6063
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Country | US
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Telephone | 239-261-6876
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Fax | 239-643-4969
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MARK P RUBINO
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Credential | MD
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Telephone | 239-261-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME75629
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License Number State | FL
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