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General NPI Number Information
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NPI Number | 1235467630
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Entity Type | Individual
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Provider Name | BEATRIZ CRISTINA BARANSKI KANIAK MD
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Gender | Female
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 8899 UNIVERSITY CENTER LN SUITE 370
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City | SAN DIEGO
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State | CA
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Zip | 92122-1013
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Country | US
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Telephone | 858-552-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 LEBON DR SUITE 5112
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City | SAN DIEGO
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State | CA
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Zip | 92122-4593
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Country | US
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Telephone | 858-412-4746
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 122036
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License Number State | ZZ
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