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General NPI Number Information
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NPI Number | 1992681753
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Entity Type | Organization
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Legal Business Name | DR. A RUTWIND PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 8722 HOLLOWAY DR UNIT 1/2
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2306
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Country | US
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Telephone | 347-219-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 HOLLOWAY DR UNIT 1/2
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2306
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Country | US
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Telephone | 347-219-9216
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDRA RUTWIND
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Credential | DMD, MS
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Telephone | 347-219-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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