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General NPI Number Information
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NPI Number | 1548462310
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Entity Type | Organization
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Legal Business Name | NORTH COUNTY PEDIATRICS
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1108 VINE ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2597
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Country | US
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Telephone | 808-523-9422
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 VINE ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2597
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Country | US
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Telephone | 808-523-9422
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD FIELD
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Credential | M.D.
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Telephone | 805-239-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G23915
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License Number State | CA
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