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General NPI Number Information
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NPI Number | 1235548330
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Entity Type | Organization
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Legal Business Name | SCRIPPS HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 9750 MIRAMAR RD STE 130
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City | SAN DIEGO
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State | CA
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Zip | 92126-4561
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Country | US
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Telephone | 858-527-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 9750 MIRAMAR RD STE 130
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City | SAN DIEGO
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State | CA
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Zip | 92126-4561
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR OF ANCILLARY SERVICES
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Name | ASHLEY FLETCHER
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Credential |
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Telephone | 214-619-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 201418810017
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License Number State | CA
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