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General NPI Number Information
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NPI Number | 1245435395
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Entity Type | Organization
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Legal Business Name | JAMES R RYBA MD INC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE #250
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-549-8905
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Fax | 714-549-8907
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE #250
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-549-8905
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Fax | 714-549-8907
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES R RYBA
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Credential | MD
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Telephone | 714-549-8905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C30976
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License Number State | CA
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