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General NPI Number Information
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NPI Number | 1851012421
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Entity Type | Individual
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Provider Name | JILL RUBOLINO APRN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3434 WATTERS RD
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City | PASADENA
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State | TX
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Zip | 77504-2015
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Country | US
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Telephone | 713-941-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N PACIFIC COAST HWY STE 2175
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City | EL SEGUNDO
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State | CA
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Zip | 90245-5639
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Country | US
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Telephone | 877-878-3289
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1073616
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11024103
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License Number State | FL
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