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General NPI Number Information
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NPI Number | 1710963509
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Entity Type | Individual
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Provider Name | DAVID ALLAN LIFSET MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE ATTN: OB/GYN DEPT
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City | CAMP PENDLETON
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-725-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 514 VERBENA CT
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City | ENCINITAS
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State | CA
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Zip | 92024-2385
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A80599
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License Number State | CA
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