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General NPI Number Information
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NPI Number | 1780784454
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Entity Type | Individual
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Provider Name | NASIRA RUBINA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 170 CAMDEN HILL RD STE F
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7418
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Country | US
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Telephone | 678-226-2295
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Fax | 678-226-2296
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Provider Business Mailing Address
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Address Line | 170 CAMDEN HILL RD STE F
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7418
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Country | US
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Telephone | 678-226-2295
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Fax | 678-226-2296
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 056642
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 056642
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License Number State | GA
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