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General NPI Number Information
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NPI Number | 1003095589
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Entity Type | Organization
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Legal Business Name | RADY CHILDREN'S HOSPITAL SAN DIEGO
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 625 W CITRACADO PKWY SUITE 102
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City | ESCONDIDO
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State | CA
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Zip | 92025-6428
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Country | US
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Telephone | 760-294-9270
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Fax | 760-294-9268
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Provider Business Mailing Address
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Address Line | 625 W CITRACADO PKWY SUITE 102
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City | ESCONDIDO
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State | CA
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Zip | 92025-6428
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Country | US
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Telephone | 760-294-9270
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Fax | 760-294-9268
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Authorized Official
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Title or Position | SR. VICE PRESIDENT, CFO
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Name | MR. JAMES J ULI
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Credential |
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Telephone | 858-966-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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