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General NPI Number Information
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NPI Number | 1366726135
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Entity Type | Organization
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Legal Business Name | ERVIN P. RUZICS, M.D., INC.
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 1100 W STEWART DR SEB 2ND FLOOR, KIDNEY TRANSPLANT
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City | ORANGE
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State | CA
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Zip | 92868-3849
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Country | US
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Telephone | 714-771-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 16396 ARDSLEY CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-2113
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Country | US
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Telephone | 714-846-6731
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERVIN PAUL RUZICS
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Credential | M.D.
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Telephone | 714-771-8033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G51676
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License Number State | CA
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