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General NPI Number Information
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NPI Number | 1548750169
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Entity Type | Organization
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Legal Business Name | WEST2NORTH MEDICAL SOLUTIONS INC
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 1595 GRAND AVE STE 100
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City | SAN MARCOS
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State | CA
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Zip | 92078
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Country | US
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Telephone | 760-444-0523
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Fax | 760-410-6088
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Provider Business Mailing Address
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Address Line | 1595 GRAND AVE STE 100
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City | SAN MARCOS
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State | CA
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Zip | 92078-2450
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Country | US
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Telephone | 760-444-0523
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Fax | 760-410-6088
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Authorized Official
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Title or Position | OWNER
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Name | WILL PERALTA
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Credential | DO
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Telephone | 760-444-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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