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General NPI Number Information
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NPI Number | 1194969956
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Entity Type | Organization
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Legal Business Name | WILLIAM J PADILLA A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 263 CHURCH AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2728
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Country | US
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Telephone | 619-422-1324
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Fax | 619-422-1055
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Provider Business Mailing Address
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Address Line | 263 CHURCH AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2728
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Country | US
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Telephone | 619-422-1324
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Fax | 619-422-1055
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM J PADILLA
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Credential | M. D.
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Telephone | 619-422-1324
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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 | A43091
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License Number State | CA
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