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General NPI Number Information
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NPI Number | 1083869747
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Entity Type | Organization
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Legal Business Name | RUBEN S. CASABAR, M.D., INC
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Dates
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Enumeration Date | 11/22/2008
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Last Update Date | 11/22/2008
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Provider Practice Location Address
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Address Line | 2426 W 8TH ST SUITE 105
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City | LOS ANGELES
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State | CA
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Zip | 90057-3979
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Country | US
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Telephone | 213-388-4415
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1211
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City | WILMINGTON
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State | CA
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Zip | 90748-1211
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Country | US
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Telephone | 310-835-0501
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Fax | 310-835-5003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUBEN SANGALANG CASABAR
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Credential | M.D
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Telephone | 213-388-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A47793
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License Number State | CA
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