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NPI Code Detail

MEDICARE: NICOLE NADINE RUBIS CCC-SLP

MEDICARE: NICOLE NADINE RUBIS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist28570CA

General Provider Information

NPI Number : 1457990160
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE NADINE RUBIS CCC-SLP
Provider Business Mailing Address
First Line : 2120 MEADOWLARK RANCH CIR
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-5110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOLLAND GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-1354
Country : US
Telephone Number : 760-746-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2019
Last Update Date : 12/27/2019

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Directions to “ NICOLE NADINE RUBIS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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