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General NPI Number Information
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NPI Number | 1457829400
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Entity Type | Organization
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Legal Business Name | RAYMOND S. PIERSON, MD
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2221 WANKEL WAY
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City | OXNARD
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State | CA
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Zip | 93030-0192
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Country | US
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Telephone | 805-278-0212
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Fax | 805-988-1454
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Provider Business Mailing Address
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Address Line | 1203 FLYNN RD UNIT 160
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City | CAMARILLO
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State | CA
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Zip | 93012-6203
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Country | US
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Telephone | 805-804-4168
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Fax | 805-830-1177
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | RAYMOND S PIERSON
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Credential | MD
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Telephone | 805-278-0212
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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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