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General NPI Number Information
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NPI Number | 1184013948
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Entity Type | Individual
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Provider Name | GINA NICOLE RUBIDOUX FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 8001 WYOMING BLVD NE STE D4
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2013
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Country | US
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Telephone | 505-844-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 413 VISTA ROJA PL NE
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City | RIO RANCHO
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State | NM
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Zip | 87124-1876
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Country | US
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Telephone | 505-681-8468
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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 | CNP-02600
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License Number State | NM
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