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General NPI Number Information
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NPI Number | 1639630338
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Entity Type | Individual
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Provider Name | WARREN JAMES REULAND MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 26921 CROWN VALLEY PKWY STE 120
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6501
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Country | US
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Telephone | 714-634-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 280 S MAIN ST STE 200
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City | ORANGE
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State | CA
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Zip | 92868-3852
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Country | US
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Telephone | 714-634-4567
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A182122
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License Number State | CA
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