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General NPI Number Information
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NPI Number | 1487928891
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Entity Type | Organization
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Legal Business Name | SCRIPPS HEALTH
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4555 EXECUTIVE DR
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City | SAN DIEGO
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State | CA
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Zip | 92121-3025
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Country | US
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Telephone | 858-678-6784
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CORPORATE EXECUTIVE VP/CFO
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Name | BRETT TANDE
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Credential |
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Telephone | 858-678-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number |
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License Number State |
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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 |
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Taxonomy #3
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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 |
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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