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General NPI Number Information
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NPI Number | 1972950830
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Entity Type | Organization
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Legal Business Name | RYAN STYBEL OD INC.
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 940 N. FAIRFAX AVE.
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046
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Country | US
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Telephone | 323-651-5646
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Fax | 323-651-1426
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Provider Business Mailing Address
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Address Line | 7629 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90046-7419
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Country | US
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Telephone | 323-651-5646
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Fax | 323-651-1426
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LEAH GATTI
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Credential |
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Telephone | 323-651-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT13641TLG
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License Number State | CA
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