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General NPI Number Information
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NPI Number | 1295936201
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Entity Type | Individual
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Provider Name | JULIET ELLEN FLIEGEL M.D
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 120 W COLE BLVD STE B
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City | CALEXICO
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State | CA
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Zip | 92231-9700
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Country | US
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Telephone | 760-890-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 2732 NAVAJO RD SUITE 200
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City | EL CAJON
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State | CA
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Zip | 92020-2149
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Country | US
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Telephone | 619-287-7246
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Fax | 619-825-8269
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G84603
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | G84603
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G84603
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License Number State | CA
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