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General NPI Number Information
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NPI Number | 1508393323
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Entity Type | Organization
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Legal Business Name | ERIN GATTUSO
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2790 TRUXTUN RD SUITE 120A
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City | SAN DIEGO
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State | CA
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Zip | 92106-6135
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Country | US
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Telephone | 814-937-4597
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60085
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City | SAN DIEGO
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State | CA
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Zip | 92166-8085
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Country | US
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Telephone | 814-937-4597
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR
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Name | DR. ERIN GATTUSO
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Credential | N.D.
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Telephone | 814-973-4597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND895
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License Number State | CA
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