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General NPI Number Information
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NPI Number | 1356581847
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Entity Type | Organization
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Legal Business Name | KATHRYN RIGONAN MD INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE SUITE 154
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-754-0100
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Fax | 714-754-6806
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE SUITE 154
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-754-0100
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Fax | 714-754-6806
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHRYN RUBIO RIGONAN
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Credential | M.D.
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Telephone | 714-754-0100
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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 | A51220
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License Number State | CA
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