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General NPI Number Information
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NPI Number | 1730446527
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Entity Type | Individual
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Provider Name | SARAH R. DANIELS MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 3605 VISTA WAY BLDG B
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City | OCEANSIDE
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State | CA
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Zip | 92056-4565
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Country | US
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Telephone | 760-547-1010
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Fax | 760-547-1011
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Provider Business Mailing Address
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Address Line | 3880 MURPHY CANYON RD. SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-4411
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Country | US
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Telephone | 858-636-4300
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Fax | 858-636-4319
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A130872
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License Number State | CA
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