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General NPI Number Information
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NPI Number | 1578854808
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Entity Type | Organization
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Legal Business Name | ROY D AYALON, MD., INC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 07/31/2011
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Provider Practice Location Address
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Address Line | 18411 CLARK ST STE 107
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City | TARZANA
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State | CA
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Zip | 91356-3530
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Country | US
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Telephone | 818-654-9312
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Fax | 818-654-9631
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Provider Business Mailing Address
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Address Line | 18411 CLARK ST
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City | TARZANA
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State | CA
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Zip | 91356-3506
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Country | US
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Telephone | 818-654-9312
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Fax | 818-654-9631
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Authorized Official
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Title or Position | OB/GYN
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Name | DR. ROY D AYALON
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Credential | MD
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Telephone | 818-654-9312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A102319
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License Number State | CA
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