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General NPI Number Information
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NPI Number | 1710020201
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Entity Type | Organization
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Legal Business Name | NORTH COUNTY GASTROENTEROLOGY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3923 WARING RD STE A
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City | OCEANSIDE
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State | CA
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Zip | 92056-4499
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Country | US
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Telephone | 760-724-8782
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Fax | 760-842-7801
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Provider Business Mailing Address
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Address Line | 3923 WARING RD STE A
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City | OCEANSIDE
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State | CA
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Zip | 92056-4499
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Country | US
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Telephone | 760-724-8782
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Fax | 760-842-7801
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALEXIS MICHELLE STARKEL
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Credential |
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Telephone | 760-630-0529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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