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General NPI Number Information
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NPI Number | 1730474537
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN DIEGO
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 5055 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1617
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Country | US
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Telephone | 858-573-8390
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Fax |
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Provider Business Mailing Address
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Address Line | 5055 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1617
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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 | SUPERVISOR
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Name | MRS. DEBBIE PASAMONTE
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Credential | RN, MSN
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Telephone | 858-573-7339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | 719244
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License Number State | CA
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