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General NPI Number Information
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NPI Number | 1063749224
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Entity Type | Organization
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Legal Business Name | RUZMED INC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 12598 CENTRAL AVE SUITE 119
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City | CHINO
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State | CA
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Zip | 91710-3502
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Country | US
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Telephone | 909-992-3244
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Fax | 909-614-7345
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Provider Business Mailing Address
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Address Line | 2658 GRIFFITH PARK BLVD STE 180
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City | LOS ANGELES
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State | CA
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Zip | 90039-2520
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Country | US
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Telephone | 909-992-3244
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Fax | 909-614-7345
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Authorized Official
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Title or Position | PRESIDENT
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Name | XUEJIN QIN
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Credential | M.D.
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Telephone | 909-992-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A95544
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License Number State | CA
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