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General NPI Number Information
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NPI Number | 1417315425
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Entity Type | Organization
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Legal Business Name | E SCOTT SILLS, MD PHD
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 3144 EL CAMINO REAL SUITE 106
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City | CARLSBAD
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State | CA
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Zip | 92008-2194
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Country | US
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Telephone | 760-994-0156
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Fax | 760-994-0159
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Provider Business Mailing Address
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Address Line | 3144 EL CAMINO REAL SUITE 106
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City | CARLSBAD
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State | CA
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Zip | 92008-2194
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Country | US
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Telephone | 760-994-0156
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Fax | 760-994-0159
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. E SCOTT SILLS
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Credential | MD PHD
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Telephone | 760-994-0156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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