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General NPI Number Information
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NPI Number | 1992452643
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Entity Type | Individual
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Provider Name | DARLA RUBIO MORALES PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 13755 N LITCHFIELD RD STE 105
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City | SURPRISE
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State | AZ
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Zip | 85379-4288
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Country | US
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Telephone | 623-251-3844
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Fax |
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Provider Business Mailing Address
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Address Line | 20000 N 57TH AVE RM H210
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City | GLENDALE
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State | AZ
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Zip | 85308-6877
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Country | US
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Telephone | 760-996-6527
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8967
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License Number State | AZ
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