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General NPI Number Information
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NPI Number | 1427696616
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Entity Type | Organization
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Legal Business Name | SAN DIEGO HEALTHCARE QUALITY COLLABORATIVE
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 7632 CORTINA CT
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City | CARLSBAD
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State | CA
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Zip | 92009-8206
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Country | US
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Telephone | 760-707-9256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 230397
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City | ENCINITAS
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State | CA
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Zip | 92023-0397
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Country | US
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Telephone | 760-707-9256
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHERINE BAILEY
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Credential | MSW
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Telephone | 760-707-9256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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