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General NPI Number Information
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NPI Number | 1093417206
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Entity Type | Organization
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Legal Business Name | MDS BY THE SEA INC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 1200 N COAST HIGHWAY 101
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City | ENCINITAS
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State | CA
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Zip | 92024-1441
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Country | US
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Telephone | 619-483-6694
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Fax | 858-227-0853
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | SOLANA BEACH
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State | CA
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Zip | 92075-0300
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Country | US
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Telephone | 619-483-6694
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DR. MARK FRANCIS BURGER
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Credential | MD
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Telephone | 619-483-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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