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General NPI Number Information
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NPI Number | 1245200674
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Entity Type | Individual
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Provider Name | GORDON S. APPELBAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 4171 OCEANSIDE BLVD
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City | OCEANSIDE
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State | CA
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Zip | 92056-6023
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Country | US
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Telephone | 760-216-6253
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Fax |
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Provider Business Mailing Address
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Address Line | 12615 KESTREL ST
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City | SAN DIEGO
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State | CA
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Zip | 92129-3540
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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 |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.064031
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD8036
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G069453
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License Number State | CA
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