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General NPI Number Information
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NPI Number | 1578904934
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Entity Type | Organization
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Legal Business Name | PINGFENG DU, MD, INC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 345 SAXONY RD SUIT 202
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City | ENCINITAS
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State | CA
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Zip | 92024-2787
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Country | US
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Telephone | 760-504-5988
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Fax |
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Provider Business Mailing Address
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Address Line | 13069 SIGNATURE PT SUIT 211
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City | SAN DIEGO
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State | CA
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Zip | 92130-1522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PINGFENG DU
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Credential |
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Telephone | 760-504-5988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A95673
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License Number State | CA
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