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General NPI Number Information
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NPI Number | 1093198178
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Entity Type | Organization
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Legal Business Name | RYAN PERUMPAIL MD INC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 732-682-1078
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Fax | 888-374-8935
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Provider Business Mailing Address
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Address Line | 458 N DOHENY DR UNIT 46892
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1737
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Country | US
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Telephone | 732-682-1078
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Fax | 888-374-8935
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | RYAN PERUMPAIL
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Credential | MD
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Telephone | 732-682-1078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A128296
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A128296
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License Number State | CA
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