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General NPI Number Information
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NPI Number | 1427078690
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Entity Type | Individual
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Provider Name | DAVID BART REUBEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 1245 16TH ST STE 204
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City | SANTA MONICA
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State | CA
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Zip | 90404-1240
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Country | US
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Telephone | 310-319-4371
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Fax | 310-319-4141
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Provider Business Mailing Address
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Address Line | 5767 W. CENTURY BLVD. SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5655
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Country | US
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Telephone | 310-301-8714
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Fax | 310-301-8712
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | G66427
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License Number State | CA
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