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NPI 1063562908

NPI 1063562908 : PATRICIA ANN RIBA MD : ORANGE, CA

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General NPI Number Information
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    NPI Number           |    1063562908
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA ANN RIBA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    05/24/2024
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Provider Practice Location Address
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    Address Line         |    1310 W. STEWART DRIVE SUITE 508
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    City                 |    ORANGE
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    State                |    CA
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    Zip                  |    92868-3856
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    Country              |    US
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    Telephone            |    714-549-6440
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    Fax                  |    714-549-6449
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Provider Business Mailing Address
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    Address Line         |    211 E. COLUMBINE UNIT D
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92707-4404
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    Country              |    US
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    Telephone            |    714-549-6440
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    Fax                  |    714-549-6449
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    A72318
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    License Number State |    CA
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