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General NPI Number Information
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NPI Number | 1831592401
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Entity Type | Organization
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Legal Business Name | UCLA RONALD REAGAN HOSPITAL
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone | 310-267-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone | 310-267-7610
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Fax |
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Authorized Official
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Title or Position | NPII
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Name | AMALIA DEPEREZ
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Credential | NP
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Telephone | 310-267-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 95001212
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License Number State | CA
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