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General NPI Number Information
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NPI Number | 1720325293
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Entity Type | Organization
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Legal Business Name | RUBICON, INC.
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 2000 MECKLENBURG ST
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City | RICHMOND
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State | VA
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Zip | 23223-3716
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Country | US
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Telephone | 804-381-6307
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MECKLENBURG ST
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City | RICHMOND
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State | VA
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Zip | 23223-3716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DEPUTY DIRECTOR
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Name | MRS. BARBARA J THORNHILL
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Credential |
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Telephone | 804-381-6307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 161
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License Number State | VA
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