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General NPI Number Information
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NPI Number | 1003843335
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Entity Type | Individual
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Provider Name | MINDY B CETEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 6725 MESA RIDGE RD SUITE 224
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City | SAN DIEGO
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State | CA
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Zip | 92121-2923
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Country | US
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Telephone | 858-224-1866
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Fax | 858-224-1867
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Provider Business Mailing Address
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Address Line | 6725 MESA RIDGE RD SUITE 224
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City | SAN DIEGO
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State | CA
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Zip | 92121-2923
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Country | US
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Telephone | 858-224-1866
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Fax | 858-224-1867
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G62985
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License Number State | CA
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