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General NPI Number Information
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NPI Number | 1669872354
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Entity Type | Individual
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Provider Name | NATALIYA STOGNIY
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 10801 THORNMINT RD 250
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City | SAN DIEGO
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State | CA
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Zip | 92127-1080
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Country | US
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Telephone | 916-521-3325
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Fax |
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Provider Business Mailing Address
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Address Line | 8775 NAVAJO RD UNIT 6
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City | SAN DIEGO
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State | CA
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Zip | 92119-2741
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 51830
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 51830
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License Number State | CA
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