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General NPI Number Information
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NPI Number | 1710943527
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Entity Type | Individual
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Provider Name | BRIAN DAVID RUDIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 696 HAMPSHIRE RD SUITE 180
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2699
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Country | US
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Telephone | 805-285-2225
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Fax | 805-285-3291
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Provider Business Mailing Address
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Address Line | 696 HAMPSHIRE RD STE 180
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4459
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Country | US
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Telephone | 805-208-8192
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A75433
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License Number State | CA
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