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General NPI Number Information
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NPI Number | 1427329028
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Entity Type | Organization
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Legal Business Name | F. DAVID RUDNICK, MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 501 SANTA MONICA BLVD STE 509
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City | SANTA MONICA
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State | CA
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Zip | 90401-2432
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Country | US
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Telephone | 310-393-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SANTA MONICA BLVD STE 509
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City | SANTA MONICA
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State | CA
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Zip | 90401-2432
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Country | US
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Telephone | 310-393-5433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANKLIN DAVID RUDNICK
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Credential | M.D.
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Telephone | 310-393-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G34733
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License Number State | CA
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