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General NPI Number Information
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NPI Number | 1134249345
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Entity Type | Organization
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Legal Business Name | SYLVIA A GISI, M.D. INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 31493 RANCHO PUEBLO RD STE 204
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City | TEMECULA
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State | CA
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Zip | 92592-4833
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Country | US
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Telephone | 951-303-6158
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Fax | 951-303-8492
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Provider Business Mailing Address
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Address Line | 31720 HIGHWAY 79 SOUTH SUITE 203
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City | TEMECULA
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State | CA
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Zip | 92592
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Country | US
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Telephone | 951-303-6158
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Fax | 951-303-8492
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYLVIA A GISI
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Credential | M.D.
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Telephone | 951-303-6158
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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 |
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License Number State |
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