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General NPI Number Information
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NPI Number | 1366864258
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Entity Type | Organization
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Legal Business Name | SHARP REES-STEALY MEDICAL GROUP INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 2600 VIA DE LA VALLE STE 200
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 619-446-1530
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 939087
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City | SAN DIEGO
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State | CA
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Zip | 92193-9087
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Country | US
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Telephone | 858-262-6344
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Fax | 858-636-2032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN J BIER
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Credential | M.D.
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Telephone | 858-262-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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