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General NPI Number Information
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NPI Number | 1699854596
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Entity Type | Individual
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Provider Name | JOAN JOONSUN RYOO MD, MSHS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 4950 W SUNSET BLVD SECOND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90027-5822
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Country | US
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Telephone | 323-783-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 W SUNSET BLVD SECOND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90027-5822
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Country | US
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Telephone | 323-783-2841
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 221442
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | A98329
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License Number State | CA
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