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General NPI Number Information
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NPI Number | 1033172002
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Entity Type | Organization
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Legal Business Name | RODERICK A COMUNALE II MD INC
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 502 EUCLID AVE STE 205
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2993
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Country | US
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Telephone | 858-551-0276
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Fax | 848-454-9796
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Provider Business Mailing Address
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Address Line | PO BOX 1188
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City | LA JOLLA
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State | CA
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Zip | 92038-1188
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Country | US
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Telephone | 858-551-0276
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Fax | 858-454-9796
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODERICK A COMUNALE
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Credential | MD
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Telephone | 858-551-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A43885
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License Number State | CA
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