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General NPI Number Information
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NPI Number | 1548460884
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Entity Type | Organization
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Legal Business Name | CARLSBAD COASTAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 3231 WARING CT STE P
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City | OCEANSIDE
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State | CA
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Zip | 92056-4510
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Country | US
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Telephone | 442-204-5245
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Fax | 442-204-5589
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Provider Business Mailing Address
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Address Line | 3231 WARING CT STE P
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City | OCEANSIDE
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State | CA
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Zip | 92056-4510
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Country | US
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Telephone | 442-204-5245
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Fax | 442-204-5589
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANJEEV SHARMA
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Credential | MD
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Telephone | 442-204-5245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2991431
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License Number State | CA
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