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General NPI Number Information
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NPI Number | 1508219049
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Entity Type | Organization
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Legal Business Name | CENTER FOR HORMONAL HEALTH AND WELL-BEING
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 477 N. EL CAMINO REAL STE D200
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-753-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 477 N. EL CAMINO REAL STE D200
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-753-3636
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DANIELLE WEISS
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Credential |
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Telephone | 760-753-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State | CA
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