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General NPI Number Information
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NPI Number | 1225059454
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Entity Type | Organization
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Legal Business Name | BRADLEY L. SPITZ, M.D. INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 501 WASHINGTON ST STE 725
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City | SAN DIEGO
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State | CA
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Zip | 92103-2241
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Country | US
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Telephone | 619-299-2570
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Fax | 619-299-2216
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Provider Business Mailing Address
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Address Line | 501 WASHINGTON ST STE 725
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City | SAN DIEGO
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State | CA
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Zip | 92103-2241
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Country | US
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Telephone | 619-299-2570
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Fax | 619-299-2216
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MELISSA CORONADO
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Credential |
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Telephone | 619-819-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A54360
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A54360
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License Number State | CA
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