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General NPI Number Information
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NPI Number | 1013009760
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Entity Type | Individual
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Provider Name | JOANNE E. GARTENBERG M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 285 N EL CAMINO REAL SUITE 219
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City | ENCINITAS
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State | CA
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Zip | 92024-5383
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Country | US
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Telephone | 760-753-7490
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Fax | 760-753-0785
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Provider Business Mailing Address
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Address Line | 285 N EL CAMINO REAL SUITE 219
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City | ENCINITAS
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State | CA
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Zip | 92024-5383
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Country | US
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Telephone | 760-753-7490
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Fax | 760-753-0785
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G49397
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License Number State | CA
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