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NPI Code Detail

MEDICARE: DEBORAH TURQUIE SACAL MS, RDN

MEDICARE: DEBORAH TURQUIE SACAL MS, RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian01018898CA

General Provider Information

NPI Number : 1174911507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH TURQUIE SACAL MS, RDN
Provider Business Mailing Address
First Line : 11348 VISTA SORRENTO PKWY
Second Line : K104
City : SAN DIEGO
State : CA
Zip : 92130-7649
Country : US
Telephone Number : 650-521-4912
Fax Number :
Provider Business Practice Location Address
First Line : 4010 SORRENTO VALLEY BLVD
Second Line : 400
City : SAN DIEGO
State : CA
Zip : 92121-1432
Country : US
Telephone Number : 650-521-4912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/08/2015

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