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General NPI Number Information
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NPI Number | 1861590572
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Entity Type | Organization
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Legal Business Name | M. COBIN INC., J BOLLINGER DDS. INC. R. STOOPS CONEJO-SIMI ENDODONTICS
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 176 AUBURN CT SUITE 6
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3614
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Country | US
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Telephone | 805-495-4601
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Fax | 805-495-0861
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Provider Business Mailing Address
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Address Line | 176 AUBURN CT SUITE 6
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3614
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Country | US
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Telephone | 805-495-4601
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Fax | 805-495-0861
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Authorized Official
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Title or Position | OWNER PARTNER
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Name | DR. RYAN CURTIS STOOPS
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Credential | DDS
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Telephone | 805-495-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 25691
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 46693
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 27239
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License Number State | CA
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