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General NPI Number Information
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NPI Number | 1528076437
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Entity Type | Organization
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Legal Business Name | RUBEN CORIANO PLLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 682 S 4TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-3075
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Country | US
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Telephone | 928-373-0233
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Fax | 928-783-0519
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Provider Business Mailing Address
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Address Line | PO BOX 895
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City | YUMA
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State | AZ
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Zip | 85366-2339
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Country | US
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Telephone | 928-373-0233
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RUBEN CORIANO
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Credential | PLLC
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Telephone | 928-373-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17677
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License Number State | AZ
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