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General NPI Number Information
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NPI Number | 1538720842
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL MANAGEMENT SERVICES, INC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 3811 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92105-1020
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Country | US
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Telephone | 619-284-5622
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Fax | 619-283-2572
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Provider Business Mailing Address
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Address Line | 3811 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92105-1020
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Country | US
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Telephone | 619-284-5622
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Fax | 619-283-2572
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | ALBERTO PERALTA
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Credential |
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Telephone | 619-284-5622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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