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General NPI Number Information
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NPI Number | 1720667256
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Entity Type | Organization
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Legal Business Name | EMBRACE THEM
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 4077 FIFTH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-717-6667
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600763
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City | SAN DIEGO
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State | CA
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Zip | 92160-0763
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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 | PRESIDENT
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Name | MANDY MAJERSKI GONZALEZ
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Credential | DR
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Telephone | 619-717-6667
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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 |
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License Number State |
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