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General NPI Number Information
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NPI Number | 1740166859
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Entity Type | Individual
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Provider Name | ERICA RENEE RUBIO
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 31111 AGOURA RD STE 220
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4445
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Country | US
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Telephone | 213-375-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 16909 PARTHENIA ST STE 105
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4561
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 17515
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 148997
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License Number State | CA
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