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NPI 1295630432

NPI 1295630432 : ACUTE NEUROENDOVASCULAR AND NEUROSURGICAL CARE APC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1295630432
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACUTE NEUROENDOVASCULAR AND NEUROSURGICAL CARE APC 
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Dates
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    Enumeration Date     |    10/08/2026
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    Last Update Date     |    10/08/2026
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Provider Practice Location Address
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    Address Line         |    11199 SORRENTO VALLEY RD STE 203 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92121-1334
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    Country              |    US
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    Telephone            |    858-720-0900
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    Fax                  |    619-566-0620
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Provider Business Mailing Address
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    Address Line         |    11199 SORRENTO VALLEY RD STE 203 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92121-1334
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    Country              |    US
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    Telephone            |    858-720-0900
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    Fax                  |    619-566-0620
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRUNO C FLORES 
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    Credential           |    MD
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    Telephone            |    214-620-8195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    NULL
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