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General NPI Number Information
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NPI Number | 1033880513
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Entity Type | Individual
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Provider Name | JENNIFER RUBIO
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 8415 N PIMA RD STE 280
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4488
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Country | US
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Telephone | 480-267-9865
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Fax |
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Provider Business Mailing Address
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Address Line | 575 W CHANDLER BLVD STE 120
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City | CHANDLER
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State | AZ
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Zip | 85225-7532
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Country | US
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Telephone | 480-269-7876
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 9425
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License Number State | AZ
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