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General NPI Number Information
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NPI Number | 1710118906
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Entity Type | Individual
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Provider Name | ANNA LEIGH CHRISTINE ORNOPIA URSALES MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST # MC-1516
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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Country | US
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Telephone | 909-558-2417
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Fax | 909-558-2417
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Provider Business Mailing Address
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Address Line | 11234 ANDERSON ST # MC-1516
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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Country | US
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Telephone | 909-558-2417
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Fax | 909-558-2417
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | M1882
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | P8200
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | BP10042682
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD60858857
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A146361
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License Number State | CA
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