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General NPI Number Information
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NPI Number | 1407851041
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Entity Type | Individual
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Provider Name | TAGUMPAY E. SACAMAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 655 EUCLID AVE STE 303
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2957
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Country | US
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Telephone | 619-475-4900
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Fax | 619-475-8373
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Provider Business Mailing Address
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Address Line | 4225 EXECUTIVE SQ STE 450
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City | LA JOLLA
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State | CA
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Zip | 92037-8411
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Country | US
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Telephone | 858-810-0000
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Fax | 858-268-1911
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A62631
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License Number State | CA
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