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General NPI Number Information
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NPI Number | 1215165667
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Entity Type | Individual
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Provider Name | REBEKAH ADIA NEAL-KRAAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 10861 CHERRY ST SUITE 104
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City | LOS ALAMITOS
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State | CA
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Zip | 90720
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Country | US
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Telephone | 562-794-9801
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Fax | 562-685-0570
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Provider Business Mailing Address
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Address Line | 10861 CHERRY ST SUITE 104
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-5402
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Country | US
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Telephone | 562-794-9801
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Fax | 562-685-0570
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A113701
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A113701
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License Number State | CA
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