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General NPI Number Information
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NPI Number | 1306871306
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Entity Type | Organization
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Legal Business Name | MEDICAL GROUP OF NORTH COUNTY, INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 910 SYCAMORE AVE SUITE 270
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City | VISTA
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State | CA
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Zip | 92081-7832
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Country | US
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Telephone | 760-598-1700
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Fax | 760-598-1196
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Provider Business Mailing Address
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Address Line | 910 SYCAMORE AVE SUITE 270
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City | VISTA
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State | CA
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Zip | 92081-7832
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Country | US
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Telephone | 760-598-1700
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Fax | 760-598-1196
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Authorized Official
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Title or Position | COO/CFO
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Name | RONALD L SMITH
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Credential |
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Telephone | 760-598-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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