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General NPI Number Information
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NPI Number | 1053360057
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Entity Type | Individual
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Provider Name | NEIL PARTAIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | COMNAVSURFPAC 2841 RENDOVA RD
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City | SAN DIEGO
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State | CA
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Zip | 92155-5490
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Country | US
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Telephone | 808-473-2553
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Fax |
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Provider Business Mailing Address
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Address Line | COMNAVSURFPAC 2841 RENDOVA RD
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City | SAN DIEGO
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State | CA
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Zip | 92155-5490
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Country | US
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Telephone | 808-473-2553
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Fax |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD-P-2023-001
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD60346379
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 00027000
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD60346379
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60346379
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License Number State | WA
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