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General NPI Number Information
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NPI Number | 1255427365
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Entity Type | Individual
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Provider Name | ANDREAS OTTO REIFF MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-669-2119
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Fax | 323-663-9694
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Provider Business Mailing Address
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Address Line | 3701 WILSHIRE BLVD SUITE 600
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City | LOS ANGELES
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State | CA
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Zip | 90010-2804
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Country | US
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Telephone | 323-361-3550
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Fax | 323-361-8052
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | MD194752
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | A63957
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD194752
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License Number State | OR
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