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General NPI Number Information
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NPI Number | 1477613248
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Entity Type | Organization
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Legal Business Name | THE LUCAS MICHAEL RUBINO FAMILY AND CHILD COUNSELING CENTER
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 515 MARINA BLVD
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City | PITTSBURG
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State | CA
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Zip | 94565-2102
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Country | US
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Telephone | 925-432-7844
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Fax | 925-432-7804
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Provider Business Mailing Address
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Address Line | 515 MARINA BLVD
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City | PITTSBURG
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State | CA
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Zip | 94565-2102
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Country | US
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Telephone | 925-432-7844
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Fax | 925-432-7804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J RUBINO III
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Credential |
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Telephone | 925-432-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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