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General NPI Number Information
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NPI Number | 1598284226
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Entity Type | Individual
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Provider Name | MAYA RACHEL RUBIN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 32 W 40TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10018-3934
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Country | US
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Telephone | 516-695-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 506 FAIRVIEW AVE APT D5
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City | RIDGEWOOD
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State | NY
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Zip | 11385-9203
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Country | US
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Telephone | 516-695-5935
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 096176
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License Number State | NY
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