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General NPI Number Information
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NPI Number | 1467563791
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Entity Type | Organization
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Legal Business Name | NORTH COUNTY TRAUMA ASSOCIATES, INC. A MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 215 SOUTH HICKORY AVENUE SUITE 112
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City | ESCONDIDO
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State | CA
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Zip | 92025-4360
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Country | US
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Telephone | 760-489-5955
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Fax | 760-489-7150
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Provider Business Mailing Address
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Address Line | 2067 WINERIDGE PLACE SUITE A
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City | ESCONDIDO
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State | CA
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Zip | 92029-1952
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Country | US
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Telephone | 760-740-6944
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Fax | 760-740-9619
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN T. STEELE
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Credential | M.D.
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Telephone | 760-489-5955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | CA
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