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General NPI Number Information
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NPI Number | 1245971407
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Entity Type | Individual
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Provider Name | CHRISTINA FERNANDEZ-LUBCZYK
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Gender | Female
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Dates
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Enumeration Date | 04/03/2022
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Last Update Date | 04/03/2022
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Provider Practice Location Address
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Address Line | 3020 CHILDRENS WAY
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City | SAN DIEGO
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State | CA
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Zip | 92123-4223
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Country | US
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Telephone | 858-576-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 5185 MARINER DR
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City | SAN DIEGO
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State | CA
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Zip | 92154-5823
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Country | US
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Telephone | 817-966-2760
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 95020556
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License Number State | CA
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