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General NPI Number Information
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NPI Number | 1164237343
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Entity Type | Individual
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Provider Name | COURTNEY CHRISTINE RUBY MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 15218 S 47TH ST
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City | PHOENIX
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State | AZ
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Zip | 85044-6893
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Country | US
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Telephone | 925-584-9099
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Fax |
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Provider Business Mailing Address
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Address Line | 7650 S 59TH AVE # A105
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City | LAVEEN
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State | AZ
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Zip | 85339-3071
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Country | US
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Telephone | 24-768-8886
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 320119
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License Number State | AZ
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