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General NPI Number Information
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NPI Number | 1881749026
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Entity Type | Individual
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Provider Name | ROBERT A RUELAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4525 E CESAR E CHAVEZ AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-1116
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Country | US
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Telephone | 818-660-0778
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Fax | 855-578-3529
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Provider Business Mailing Address
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Address Line | 4525 E CESAR E CHAVEZ AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-1116
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Country | US
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Telephone | 818-660-0778
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Fax | 855-578-3529
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | U0052
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | U0052
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A78097
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | U0052
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A78097
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License Number State | CA
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