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General NPI Number Information
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NPI Number | 1144379595
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Entity Type | Individual
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Provider Name | JILL T. RUBIN MSW
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 215 E ANAPAMU ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2005
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Country | US
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Telephone | 413-695-6818
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Fax |
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Provider Business Mailing Address
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Address Line | 314 E. CARRILLO STREET SUITE 9
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City | SANTA BARBARA
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State | CA
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Zip | 93101
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Country | US
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Telephone | 413-695-6818
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Fax | 844-820-7074
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111937
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW64565
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License Number State | CA
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