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General NPI Number Information
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NPI Number | 1336529361
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Entity Type | Organization
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Legal Business Name | REPRODUCTIVE SCIENCES MANAGEMENT
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 3661 VALLEY CENTRE DR STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92130-3340
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Country | US
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Telephone | 858-436-7186
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Fax | 858-436-7170
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Provider Business Mailing Address
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Address Line | 3661 VALLEY CENTRE DR STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92130-3340
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Country | US
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Telephone | 858-436-7186
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Fax | 858-436-7170
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. ELIZABETH M TIPPETTS
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Credential |
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Telephone | 858-436-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLA00011398
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License Number State | CA
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