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General NPI Number Information
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NPI Number | 1083684997
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Entity Type | Individual
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Provider Name | CRISTIANA GOLU MD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2650 STOCKTON RD
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City | SAN DIEGO
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State | CA
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Zip | 92106-6000
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Country | US
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Telephone | 619-532-8225
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Fax |
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Provider Business Mailing Address
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Address Line | 1369 MERRITT DR
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City | EL CAJON
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State | CA
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Zip | 92020-6813
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Country | US
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Telephone | 619-749-3169
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A0705681
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License Number State | CA
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