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General NPI Number Information
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NPI Number | 1467065953
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Entity Type | Individual
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Provider Name | RUBI ROJAS CORONEL
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 9921 CARMEL MOUNTAIN RD # 332
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City | SAN DIEGO
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State | CA
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Zip | 92129-2813
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Country | US
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Telephone | 619-848-3596
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Fax |
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Provider Business Mailing Address
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Address Line | 9921 CARMEL MOUNTAIN RD # 332
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City | SAN DIEGO
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State | CA
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Zip | 92129-2813
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Country | US
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Telephone | 619-848-3596
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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