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General NPI Number Information
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NPI Number | 1386960441
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Entity Type | Organization
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Legal Business Name | RYAN S LABOVITCH MD INCORPORATED
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 27372 ALISO CREEK RD STE 200
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City | ALISO VIEJO
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State | CA
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Zip | 92656-5339
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Country | US
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Telephone | 949-520-1012
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Fax | 949-520-1045
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Provider Business Mailing Address
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Address Line | 1310 S CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91204-2506
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Country | US
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Telephone | 818-579-2408
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Fax | 818-579-2373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RYAN SCOTT LABOVITCH
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Credential | M.D.
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Telephone | 949-720-1944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A81975
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License Number State | CA
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