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General NPI Number Information
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NPI Number | 1073138020
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Entity Type | Individual
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Provider Name | REINA RUFO AMILING MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 4700 INGLEWOOD BLVD STE 102
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City | LOS ANGELES
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State | CA
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Zip | 90230-5896
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Country | US
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Telephone | 310-392-8636
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Fax | 310-392-6642
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Provider Business Mailing Address
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Address Line | 8627 ATLANTIC AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-3501
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A179503
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License Number State | CA
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