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General NPI Number Information
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NPI Number | 1447653050
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Entity Type | Organization
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Legal Business Name | RUBEN M RUIZ III MEDICAL CENTER
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Dates
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Enumeration Date | 09/27/2014
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 3012 SAN GABRIEL BLVD
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City | ROSEMEAD
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State | CA
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Zip | 91770-2536
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Country | US
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Telephone | 626-572-8692
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Fax | 626-572-9736
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Provider Business Mailing Address
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Address Line | 3012 SAN GABRIEL BLVD
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City | ROSEMEAD
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State | CA
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Zip | 91770-2536
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Country | US
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Telephone | 626-572-8692
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Fax | 626-572-9736
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUBEN M RUIZ III
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Credential | M. D.
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Telephone | 626-593-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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