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General NPI Number Information
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NPI Number | 1831605823
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Entity Type | Individual
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Provider Name | AMY L RUBIN LPC, LISAC, MAC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 6619 N SCOTTSDALE RD STE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-4421
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Country | US
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Telephone | 602-344-9941
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Fax | 480-933-0041
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Provider Business Mailing Address
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Address Line | 3300 N SCOTTSDALE RD APT 5062
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6586
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Country | US
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Telephone | 602-344-9941
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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 | 15201
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15167
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13314
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19034
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License Number State | AZ
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