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General NPI Number Information
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NPI Number | 1427323575
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Entity Type | Individual
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Provider Name | RUCHA GADGIL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 2051 MARENGO ST IPT 4TH FLOOR - SUITE C4J100
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City | LOS ANGELES
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State | CA
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Zip | 90033-1352
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Country | US
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Telephone | 323-409-8408
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Fax |
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Provider Business Mailing Address
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Address Line | 5152 RUSSO ST
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City | CULVER CITY
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State | CA
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Zip | 90230-5949
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A163152
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A163152
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License Number State | CA
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