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General NPI Number Information
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NPI Number | 1578549044
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Entity Type | Organization
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Legal Business Name | SCRIPPS CLINIC MEDICAL LABORATORIES
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 15004 INNOVATION DR
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City | SAN DIEGO
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State | CA
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Zip | 92128-3491
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Country | US
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Telephone | 858-487-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-487-1800
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. BETH PALLA
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Credential | M.D.
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Telephone | 858-554-8605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | CA
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