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General NPI Number Information
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NPI Number | 1669512885
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Entity Type | Organization
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Legal Business Name | R DAVID SIBLEY MD INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10585 SANTA MONICA BLVD SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-441-2120
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Fax | 310-441-2620
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Provider Business Mailing Address
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Address Line | 10585 SANTA MONICA BLVD SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-441-2120
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Fax | 310-441-2620
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT DAVID SIBLEY
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Credential | MD FAADS
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Telephone | 310-441-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G18661
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License Number State | CA
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