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General NPI Number Information
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NPI Number | 1407021215
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Entity Type | Individual
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Provider Name | REBECCA MARIE RUIZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 9542 ARTESIA BLVD
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City | BELLFLOWER
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State | CA
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Zip | 90706-6511
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Country | US
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Telephone | 562-925-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 27300 IRIS AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4802
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A122786
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License Number State | CA
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