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NPI 1083764708

NPI 1083764708 : ERIC RYPINS MD FACS APC : OCEANSIDE, CA

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General NPI Number Information
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    NPI Number           |    1083764708
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERIC RYPINS MD FACS APC 
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Dates
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    Enumeration Date     |    01/12/2007
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    Last Update Date     |    03/21/2018
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Provider Practice Location Address
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    Address Line         |    2424 VISTA WAY STE 106 
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    City                 |    OCEANSIDE
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    State                |    CA
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    Zip                  |    92054-6178
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    Country              |    US
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    Telephone            |    760-732-1166
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    Fax                  |    760-732-1130
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Provider Business Mailing Address
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    Address Line         |    2424 VISTA WAY STE 106 
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    City                 |    OCEANSIDE
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    State                |    CA
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    Zip                  |    92054-6178
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    Country              |    US
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    Telephone            |    760-732-1166
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    Fax                  |    760-732-1130
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. SOCORRO B PETERS 
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    Credential           |    
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    Telephone            |    760-732-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    G47250
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    License Number State |    CA
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