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General NPI Number Information
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NPI Number | 1518607506
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Entity Type | Organization
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Legal Business Name | RUBIO'S COMPANY LLC
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 3016 FRY RD
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City | KATY
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State | TX
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Zip | 77449-6240
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Country | US
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Telephone | 832-742-0666
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Fax | 832-742-0665
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Provider Business Mailing Address
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Address Line | 3016 FRY RD
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City | KATY
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State | TX
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Zip | 77449-6240
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Country | US
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Telephone | 832-742-0666
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Fax | 832-742-0665
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Authorized Official
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Title or Position | OWNER
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Name | MR. MAIQUEL RUBIO PAVON
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Credential | FNP
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Telephone | 832-742-0666
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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 |
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License Number State |
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