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General NPI Number Information
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NPI Number | 1285061135
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Entity Type | Organization
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Legal Business Name | RAMONA TABIB, M.D. INC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD SUITE 211
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City | ENCINO
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State | CA
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Zip | 91436-1914
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Country | US
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Telephone | 818-317-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD SUITE 211
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City | ENCINO
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State | CA
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Zip | 91436-1914
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Country | US
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Telephone | 818-317-5017
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMONA TABIB
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Credential |
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Telephone | 818-317-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | A104733
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A104733
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | A104733
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A104733
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A104733
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License Number State | CA
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