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General NPI Number Information
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NPI Number | 1538528963
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Entity Type | Organization
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Legal Business Name | RONALD R. WARD, M.D., F.A.C.S.
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Dates
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Enumeration Date | 02/13/2016
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Last Update Date | 02/13/2016
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Provider Practice Location Address
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Address Line | 1000 MAGNOLIA AVE STE A
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City | LARKSPUR
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State | CA
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Zip | 94939-1016
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Country | US
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Telephone | 415-385-9848
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Fax | 415-409-5334
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Provider Business Mailing Address
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Address Line | 1000 MAGNOLIA AVE STE A
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City | LARKSPUR
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State | CA
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Zip | 94939-1016
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Country | US
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Telephone | 415-385-9848
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Fax | 415-409-5334
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Authorized Official
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Title or Position | OTOLARYNGOLOGIST
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Name | DR. RONALD ROGER WARD
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Credential | M.D.
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Telephone | 415-385-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | G30748
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License Number State | CA
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