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General NPI Number Information
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NPI Number | 1326543984
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Entity Type | Individual
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Provider Name | BLANCA KATARZYNA GUTIERREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 550 WASHINGTON ST STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-2227
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Country | US
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Telephone | 619-297-5437
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Fax | 619-243-0722
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Provider Business Mailing Address
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Address Line | 550 WASHINGTON ST STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-2227
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Country | US
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Telephone | 619-297-5437
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Fax | 619-243-0722
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1326543984
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036156318
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A196673
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License Number State | CA
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