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NPI 1881810869

NPI 1881810869 : STEFAN B ROWNY M.D. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1881810869
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    Entity Type          |    Individual 
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    Provider Name        |    STEFAN B ROWNY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/18/2007
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    Last Update Date     |    04/30/2018
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Provider Practice Location Address
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    Address Line         |    760 WESTWOOD PLZ 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024-5055
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    Country              |    US
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    Telephone            |    310-597-9229
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    760 WESTWOOD PLZ UCLA-NPI RESIDENT EDUCATION
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024-5055
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    Country              |    US
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    Telephone            |    310-597-9229
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    A92454
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    244720
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    License Number State |    NY
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