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General NPI Number Information
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NPI Number | 1942380787
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Entity Type | Individual
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Provider Name | ROBERTO REY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 450 N ROXBURY DR STE 400
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4218
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Country | US
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Telephone | 310-205-3107
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Fax | 310-205-8855
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Provider Business Mailing Address
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Address Line | 435 N BEDFORD DR PH
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4316
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Country | US
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Telephone | 310-205-3107
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Fax | 310-205-8822
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 131200
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | G076688
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License Number State | CA
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