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General NPI Number Information
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NPI Number | 1154308005
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Entity Type | Organization
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Legal Business Name | SCRIPPS HEALTH
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 4077 5TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-260-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-657-4218
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Fax |
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Authorized Official
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Title or Position | EVP/CFO
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Name | BRETT TANDE
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Credential |
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Telephone | 858-678-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 050000074
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License Number State | CA
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