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NPI Code Detail

MEDICARE: MS. MARSHA RUBIN

MEDICARE: MS. MARSHA RUBIN
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 PathologistSP-780NV

General Provider Information

NPI Number : 1871728782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA RUBIN
Provider Business Mailing Address
First Line : 10021 VILLA RIDGE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-7637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1161 S VALLEY VIEW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1854
Country : US
Telephone Number : 702-486-9273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 05/20/2009

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Directions to “ MS. MARSHA RUBIN ” Practice Location

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