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General NPI Number Information
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NPI Number | 1194498303
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Entity Type | Organization
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Legal Business Name | BRIDGE PHYSICIAN NETWORK SAN DIEGO PC
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 3636 NOBEL DR STE 450
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City | SAN DIEGO
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State | CA
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Zip | 92122-1062
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Country | US
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Telephone | 858-251-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 NOBEL DR STE 450
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City | SAN DIEGO
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State | CA
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Zip | 92122-1062
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Country | US
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Telephone | 858-251-4242
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Fax |
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | SALEEM RAJPER
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Credential | M.D.
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Telephone | 858-251-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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