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General NPI Number Information
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NPI Number | 1659290849
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Entity Type | Individual
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Provider Name | RYAN E GOBLE
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Gender | Male
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 445 N REXFORD DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4876
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Country | US
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Telephone | 310-281-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 GOLDEN CREST AVE
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City | NEWBURY PARK
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State | CA
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Zip | 91320-5816
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Country | US
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Telephone | 805-558-7979
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | P31072
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License Number State | CA
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