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General NPI Number Information
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NPI Number | 1487082731
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Entity Type | Individual
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Provider Name | KIMBERLY ANN RUBINO A.P.N.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1382 LANES MILL RD STE 201
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3894
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Country | US
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Telephone | 732-994-4242
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Fax | 732-363-5164
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Provider Business Mailing Address
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Address Line | 1382 LANES MILL RD STE 201
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3894
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Country | US
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Telephone | 732-994-4242
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Fax | 732-363-5164
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00466400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00466400
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License Number State | NJ
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