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General NPI Number Information
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NPI Number | 1417327081
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Entity Type | Individual
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Provider Name | DEBORAH RUBOLINO LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1709 MOON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-3935
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Country | US
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Telephone | 505-271-0329
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Fax | 505-271-4957
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Provider Business Mailing Address
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Address Line | 2300 GRANDE BLVD SE STE 4045
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City | RIO RANCHO
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State | NM
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Zip | 87124-1755
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Country | US
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Telephone | 505-896-7100
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Fax | 505-342-5414
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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 | C11128
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License Number State | NM
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