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General NPI Number Information
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NPI Number | 1720208234
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Entity Type | Individual
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Provider Name | PATRICK RYAN INSCORE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1505 N EDGEMONT ST
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City | LOS ANGELES
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State | CA
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Zip | 90027-5209
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Country | US
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Telephone | 323-783-5179
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 PINCKARD AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90278-1534
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Country | US
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Telephone | 323-383-8713
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 96470
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License Number State | CA
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