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General NPI Number Information
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NPI Number | 1437341518
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Entity Type | Organization
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Legal Business Name | NORBERTO S. WAISMAN MD. INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 480 4TH AVE SUITE 500
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City | CHULA VISTA
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State | CA
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Zip | 91910-4410
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Country | US
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Telephone | 619-426-5252
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Fax | 619-426-1918
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Provider Business Mailing Address
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Address Line | 480 4TH AVE SUITE 500
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City | CHULA VISTA
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State | CA
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Zip | 91910-4410
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Country | US
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Telephone | 619-426-5252
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Fax | 619-426-1918
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. CRISTINA WAISMAN
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Credential |
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Telephone | 619-426-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A35479
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License Number State | CA
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