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General NPI Number Information
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NPI Number | 1134612120
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Entity Type | Individual
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Provider Name | BRITT RUBIN SUD-1
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 115 10TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2604
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Country | US
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Telephone | 415-800-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 640 POLK ST APT 603
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3305
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Country | US
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Telephone | 323-806-2130
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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