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General NPI Number Information
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NPI Number | 1467345231
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Entity Type | Individual
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Provider Name | MICHAEL RUBIO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 520 N CAMINO MERCADO STE 1
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5754
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Country | US
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Telephone | 520-557-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 2451 E BASELINE RD STE 425
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City | GILBERT
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State | AZ
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Zip | 85234-0049
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Country | US
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Telephone | 480-549-4227
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Fax | 480-494-2771
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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 | 248904
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License Number State | AZ
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