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General NPI Number Information
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NPI Number | 1376349662
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Entity Type | Individual
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Provider Name | JESSICA EVE RUBIN APCC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1205 MYRTLE AVE
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City | EUREKA
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State | CA
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Zip | 95501-1224
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Country | US
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Telephone | 707-445-0869
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1332
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City | EUREKA
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State | CA
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Zip | 95502-1332
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Country | US
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Telephone | 707-296-6578
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18241
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License Number State | CA
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