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General NPI Number Information
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NPI Number | 1740547884
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Entity Type | Individual
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Provider Name | BARBARA RUBINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 2020 ZONAL AVE IRD BUILDING, 6TH FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90089-0121
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Country | US
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Telephone | 323-226-7953
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Fax | 323-226-2899
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Provider Business Mailing Address
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Address Line | 75 VARICK ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10013-1917
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A127916
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License Number State | CA
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