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General NPI Number Information
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NPI Number | 1477709095
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Entity Type | Individual
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Provider Name | GEOFFREY STERNLIEB M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 1527 W LEWIS ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-1220
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Country | US
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Telephone | 619-785-5943
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 W LEWIS ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-1220
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Country | US
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Telephone | 619-785-5943
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G76072
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License Number State | CA
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