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General NPI Number Information
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NPI Number | 1760283493
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Entity Type | Organization
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Legal Business Name | RUBATO RELATIONS LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 6126 W STATE ST # 307
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City | BOISE
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State | ID
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Zip | 83703-2741
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Country | US
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Telephone | 651-428-0274
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Fax |
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Provider Business Mailing Address
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Address Line | 104 E FAIRVIEW AVE # 217
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City | MERIDIAN
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State | ID
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Zip | 83642-1733
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Country | US
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Telephone | 651-428-0274
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINCIAN
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Name | MR. JOSEPH ANOMALAY
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Credential | LCPC-7328
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Telephone | 651-428-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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