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General NPI Number Information
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NPI Number | 1679510176
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Entity Type | Organization
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Legal Business Name | SHARP CHULA VISTA MEDICAL CENTER
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 751 MEDICAL CENTER CT 2ND FLOOR
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City | CHULA VISTA
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State | CA
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Zip | 91911-6617
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Country | US
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Telephone | 619-502-4000
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Fax | 619-502-4025
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Provider Business Mailing Address
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Address Line | 8695 SPECTRUM CENTER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123
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Country | US
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Telephone | 858-499-3025
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Fax | 858-499-4738
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Authorized Official
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Title or Position | SVP CHIEF STRATEGY OFFICER & CEO
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Name | WILLIAM SCOTT EVANS
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Credential |
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Telephone | 619-740-4648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | HSP40482
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License Number State | CA
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