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General NPI Number Information
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NPI Number | 1003401837
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Entity Type | Organization
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Legal Business Name | DOMINGUEZ SCHALCH LEPE KABACK GUARNERI MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 1349 CAMINO DEL MAR F
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-755-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 CAMINO DEL MAR F
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-755-1166
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Fax |
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Authorized Official
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Title or Position | BILLING MANGER
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Name | KRISTINA TURCO
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Credential |
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Telephone | 619-850-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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