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General NPI Number Information
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NPI Number | 1083670475
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Entity Type | Individual
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Provider Name | ADRIA ELENE OTTOBONI MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 16260 S RANCHO SAHUARITA BLVD
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City | SAHUARITA
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State | AZ
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Zip | 85629-0047
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Country | US
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Telephone | 520-416-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 MOUNT VERNON AVE ROOM 1241
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-326-2220
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Fax | 661-326-2138
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A82458
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | A82458
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 75088
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License Number State | AZ
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