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General NPI Number Information
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NPI Number | 1689691339
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Entity Type | Organization
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Legal Business Name | MARSHALL RUBIN & ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4131 E CORONADO DR
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City | TUCSON
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State | AZ
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Zip | 85718-1515
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Country | US
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Telephone | 520-577-7718
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Fax | 520-577-8543
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Provider Business Mailing Address
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Address Line | 4131 E CORONADO DR
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City | TUCSON
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State | AZ
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Zip | 85718-1515
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Country | US
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Telephone | 520-577-7718
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Fax | 520-577-8543
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARSHALL RUBIN
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Credential | LCSW
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Telephone | 520-577-7718
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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 | LCSW 2262
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License Number State | AZ
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