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General NPI Number Information
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NPI Number | 1699853713
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Entity Type | Organization
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Legal Business Name | RADY CHILDREN'S HEALTH SERVICES-SAN DIEGO
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 8291 AERO PL SUITE 130
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City | SAN DIEGO
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State | CA
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Zip | 92123-2040
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Country | US
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Telephone | 858-966-4941
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Fax | 858-966-8996
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Provider Business Mailing Address
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Address Line | 8291 AERO PL SUITE 130
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City | SAN DIEGO
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State | CA
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Zip | 92123-2040
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Country | US
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Telephone | 858-966-4941
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Fax | 858-966-8996
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KATHLEEN MARIE CAIN CARRITHERS
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Credential |
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Telephone | 858-576-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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