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General NPI Number Information
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NPI Number | 1790974707
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Entity Type | Organization
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Legal Business Name | RUBINO COUNSELING SERVICES
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 101 GREGORY LN STE 33
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4915
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Country | US
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Telephone | 925-827-9876
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Fax | 925-827-1008
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Provider Business Mailing Address
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Address Line | 101 GREGORY LN STE 33
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4915
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Country | US
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Telephone | 925-827-9876
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Fax | 925-827-1008
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL RUBINO III
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Credential | PH.D.
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Telephone | 925-827-9876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC33900
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License Number State | CA
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