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General NPI Number Information
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NPI Number | 1124497409
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Entity Type | Individual
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Provider Name | TREVIN RUBE APRN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 13737 NOEL RD SUITE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 214-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 N VALLEY MILLS DR
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City | WACO
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State | TX
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Zip | 76710-2561
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Country | US
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Telephone | 214-784-8367
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Fax | 254-323-2692
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129015
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License Number State | TX
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